Feng Mengyu, Zhang Taiping, Zhao Yupei
Department of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2017 May 25;46(6):666-674. doi: 10.3785/j.issn.1008-9292.2017.12.15.
Enhanced recovery after surgery is a multimodal perioperative strategy according to the evidence-based medicine and multidisciplinary collaboration, aiming to improve the restoration of functional capacity after surgery by reducing surgical stress, optimal control of pain, early oral diet and early mobilization. Compared with other sub-specialty in general surgery, pancreatic surgery is characterized by complex disease, highly difficult procedure and more postoperative complications. Accordingly, pancreatic surgery shares a slow development in enhanced recovery after surgery. In this review, the feasibility, safety, application progress, prospect and controversy of enhanced recovery after surgery in pancreatic surgery are discussed.
术后加速康复是一种基于循证医学和多学科协作的多模式围手术期策略，旨在通过减轻手术应激、优化疼痛控制、早期经口进食和早期活动，改善术后功能能力的恢复。与普通外科的其他亚专业相比，胰腺手术具有疾病复杂、手术难度高和术后并发症更多的特点。因此，胰腺手术在术后加速康复方面发展缓慢。在本综述中，我们讨论了术后加速康复在胰腺手术中的可行性、安全性、应用进展、前景及争议。
