Shin Sang Hyun, Kang Woo-Hyoung, Han In Woong, You Yunghun, Lee Huisong, Kim Hongbeom, Jung Woohyun, Shin Yong Chan, Heo Jin Seok
Division of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Division of Liver Transplantation and Hepatobiliary Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Ann Hepatobiliary Pancreat Surg. 2020 Nov 30;24(4):477-483. doi: 10.14701/ahbps.2020.24.4.477.
BACKGROUNDS/AIMS: The purpose of this study was to investigate attitudes regarding the Enhanced Recovery After Surgery (ERAS) protocol of hepato-biliary-pancreatic (HBP) surgeons in Korea and the extent to which they use the protocol for perioperative management.
An online survey was conducted among members of the Korean Association of Hepato-Biliary-Pancreatic Surgery (KAHBPS) for eight weeks beginning on August 2019. The questionnaire, which was written in Korean, was based on the latest ERAS guidelines. Total responses were collected from 127 surgeons.
Of the 127 total respondents, the largest proportion (44.9%) were working in Seoul. In terms of established in-hospital clinical pathways (CP), 19.7% of the participating surgeons had and followed a CP in pancreaticoduodenectomy (PD) and 21.3% in hepatectomy. Regarding the ERAS protocol for each surgery, four items (18.2%) regarding PD and seven items (35.0%) related to hepatectomy were followed by more than 50% of respondents.
ERAS guidelines are one of the consensuses for better recovery in perioperative management of patients undergoing major surgeries and encompass the overall process of patient recovery including patient education, pain control, physiologic balance, and perioperative nutrition. A novel project is needed to successfully implement an evidence-based enhanced recovery strategy.
背景/目的：本研究旨在调查韩国肝胆胰（HBP）外科医生对术后加速康复（ERAS）方案的态度，以及他们在围手术期管理中使用该方案的程度。
2019年8月起，对韩国肝胆胰外科学会（KAHBPS）成员进行了为期八周的在线调查。问卷用韩语编写，基于最新的ERAS指南。共收集到127名外科医生的回复。
在127名总受访者中，最大比例（44.9%）在首尔工作。在已建立的院内临床路径（CP）方面，19.7%的参与外科医生在胰十二指肠切除术（PD）中有并遵循CP，在肝切除术中这一比例为21.3%。关于每种手术的ERAS方案，超过50%的受访者遵循了四项（18.2%）关于PD的项目和七项（35.0%）与肝切除术相关的项目。
ERAS指南是大型手术患者围手术期管理实现更好康复的共识之一，涵盖了患者康复的整个过程，包括患者教育、疼痛控制、生理平衡和围手术期营养。需要一个新项目来成功实施基于证据的加速康复策略。
