Haid B, Lusuardi L, Oswald J
Abteilung für Kinderurologie, Ordensklinikum Linz, Krankenhaus der Barmherzigen Schwestern, Seilerstätte 4, 4010, Linz, Österreich.
Klinik und Poliklinik für Urologie, Klinikum der LMU München, München, Deutschland.
Urologe A. 2020 Mar;59(3):294-299. doi: 10.1007/s00120-020-01114-y.
Enhanced recovery after surgery (ERAS) protocols are widely established in adult urology, especially for cystectomies and procedures involving the (small) bowel. However, data concerning pediatric surgery and pediatric urologic surgery are scarce. Individual items of ERAS protocols have been well-studied and significant benefits have also been shown for children without increased risk of complications. In a number of small series the safety and efficacy of implementing ERAS protocols have been reported recently. A broad consensus and a guideline for a common pediatric ERAS protocol is not yet available.
术后加速康复(ERAS)方案在成人泌尿外科中已广泛确立,尤其是在膀胱切除术和涉及(小)肠的手术中。然而,有关儿科手术和小儿泌尿外科手术的数据却很少。ERAS方案的个别项目已得到充分研究,并且对于并发症风险未增加的儿童也显示出显著益处。最近,在一些小系列研究中报告了实施ERAS方案的安全性和有效性。目前尚无关于通用儿科ERAS方案的广泛共识和指南。