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[在胰腺手术中实施术后加速康复计划的可能性与可行性]

[The possibility and feasibility of implementation of enhanced recovery after surgery program in pancreatic surgery].

作者信息

Miao Y

机构信息

Pancreas Center, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2016 Nov 1;54(11):804-806. doi: 10.3760/cma.j.issn.0529-5815.2016.11.002.

Abstract

Although the concept of enhanced recovery after surgery(ERAS)had been raised for nearly 20 years, the application of ERAS in pancreatic surgery is still restricted because of great trauma and high incidence of postoperative complications.ERAS have demonstrated significantly accelerated postoperative recovery in pancreatic resections.Large amounts of researches confirmed that using an ERAS protocol in pancreatic surgery could help reduce overall morbidity and shorten postoperative length of hospital stay and reduce in-hospital costs. Systemic standard operating procedure could improve executive ability of the ERAS system, including establishing multi-disciplinary team, making management processes, developing verification regime, guarding against medical risks, increasing patient engagement, setting discharge criteria, improving re-admission system.In conclusion, ERAS can be realized in pancreatic surgery and will get substantial development in future.

摘要

尽管术后加速康复(ERAS)的概念已提出近20年,但由于胰腺手术创伤大、术后并发症发生率高,ERAS在胰腺手术中的应用仍受到限制。ERAS已被证明能显著加速胰腺切除术后的恢复。大量研究证实,在胰腺手术中采用ERAS方案有助于降低总体发病率,缩短术后住院时间并降低住院费用。系统的标准操作流程可以提高ERAS系统的执行能力,包括建立多学科团队、制定管理流程、建立核查机制、防范医疗风险、提高患者参与度、设定出院标准、完善再入院系统。总之,ERAS在胰腺手术中是可以实现的,并且未来将得到实质性发展。

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