Progress and prospects on key issues in clinical practice of enhanced recovery after surgery
- 1Department of Gastrointestinal and Glandular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Abstract
Enhanced recovery after surgery (ERAS) has entered a phase of standardization and refined implementation in China. In 2025, the ERAS Society released the latest Guidelines for Perioperative Care in Elective Colorectal Surgery, which includes several key updates compared with the 2018 version. Notably, the fluid management strategy has shifted from a“near-zero balance” to a “mild positive balance,” and the recommendation for prehabilitation has been downgraded from “weak recommendation” to “not recommended.” These changes reflect a significant transition in the ERAS philosophy—from a“comprehensive stacking” approach to a focused emphasis on “high-benefit core components.” Currently, multimodal analgesia, venous thromboembolism (VTE) prophylaxis, prehabilitation, gut microbiota, and perioperative fluid management remain key areas of clinical concern. This review integrates the latest domestic and international evidence and recent guideline updates to discuss these issues, explore current progress, controversies, and future directions, with the aim of promoting optimization and personalized development of ERAS clinical practice.
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BibTeX
@article{junqiang2026progress,
title = {{Progress and prospects on key issues in clinical practice of enhanced recovery after surgery}},
author = {Chen Junqiang and Mao Yuantian and Liu Siyu},
journal = {结直肠肛门外科},
year = {2026},
month = aug,
doi = {10.19668/j.cnki.issn1674-0491.2026.04.009},
url = {https://doi.org/10.19668/j.cnki.issn1674-0491.2026.04.009},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Progress and prospects on key issues in clinical practice of enhanced recovery after surgery
AU - Chen Junqiang
AU - Mao Yuantian
AU - Liu Siyu
PY - 2026
DA - 2026/08/01
JO - 结直肠肛门外科
DO - 10.19668/j.cnki.issn1674-0491.2026.04.009
UR - https://doi.org/10.19668/j.cnki.issn1674-0491.2026.04.009
AB - Enhanced recovery after surgery (ERAS) has entered a phase of standardization and refined implementation in China. In 2025, the ERAS Society released the latest Guidelines for Perioperative Care in Elective Colorectal Surgery, which includes several key updates compared with the 2018 version. Notably, the fluid management strategy has shifted from a“near-zero balance” to a “mild positive balance,” and the recommendation for prehabilitation has been downgraded from “weak recommendation” to “not recommended.” These changes reflect a significant transition in the ERAS philosophy—from a“comprehensive stacking” approach to a focused emphasis on “high-benefit core components.” Currently, multimodal analgesia, venous thromboembolism (VTE) prophylaxis, prehabilitation, gut microbiota, and perioperative fluid management remain key areas of clinical concern. This review integrates the latest domestic and international evidence and recent guideline updates to discuss these issues, explore current progress, controversies, and future directions, with the aim of promoting optimization and personalized development of ERAS clinical practice.
SN - 1674-0491
ER -