胰腺外科开展加速康复外科的可行性评价

The feasibility of enhance recovery after surgery in pan-creatic surgery

  • 摘要: 近年来,加速康复外科(ERAS)理念及路径在我国临床实践被广泛认同与开展,在结直肠外科、妇科及泌尿外科等领域得到广泛应用。由于胰腺外科手术具有疾病复杂、手术难度大、术后并发症发生率高等客观因素,导致ERAS在胰腺外科的认可度和接受度在不同胰腺中心差异较大,其相关路径的开展与应用显著滞后于其他学科。目前尚缺乏ERAS在胰腺外科应用的高级别循证医学证据。笔者就目前胰腺外科开展ERAS的可行性及相关热点问题进行阐述,供同道参考。

     

    Abstract: In recent years, enhanced recovery after surgery (ERAS) has been proved to be beneficial in terms of improving the postoperative outcomes, and shortening postoperative hospital stay in the context of gastrointestinal, gynecologic and urologic surgery. However, the role of ERAS for pancreatic surgery is still unclear and controversial, as the complex surgical procedure and high risk of postoperative complications, and moreover,high quality randomized controlled trials are still  lacking.In this article, authors try to discuss the current issues of the feasibility of the application of ERAS in pancreatic surgery.

     

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