Fung Andrew K Y, Chong Charing C N, Lai Paul B S
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Ann Hepatobiliary Pancreat Surg. 2020 May 31;24(2):119-126. doi: 10.14701/ahbps.2020.24.2.119.
Open hepatectomy is associated with significant post-operative morbidity and mortality profile. The use of minimally invasive approach for hepatectomy can reduce the post-operative complication profile and total length of hospital stay. Enhanced recovery after surgery (ERAS) programs involve evidence-based multimodal care pathways designed to achieve early recovery for patients undergoing major surgery. This review will discuss the published evidence, challenges and future directions for ERAS in minimally invasive hepatectomy.
开放性肝切除术与显著的术后发病率和死亡率相关。采用微创方法进行肝切除术可降低术后并发症发生率和缩短住院总时长。术后加速康复(ERAS)计划涉及基于证据的多模式护理路径,旨在使接受大手术的患者早日康复。本综述将讨论微创肝切除术中ERAS的已发表证据、挑战和未来方向。