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努力制定胰腺移植的加速康复外科(ERAS)方案:一篇叙述性综述

Working towards an ERAS Protocol for Pancreatic Transplantation: A Narrative Review.

作者信息

Elango Madhivanan, Papalois Vassilios

机构信息

Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.

出版信息

J Clin Med. 2021 Apr 1;10(7):1418. doi: 10.3390/jcm10071418.

Abstract

Enhanced recovery after surgery (ERAS) initially started in the early 2000s as a series of protocols to improve the perioperative care of surgical patients. They aimed to increase patient satisfaction while reducing postoperative complications and postoperative length of stay. Despite these protocols being widely adopted in many fields of surgery, they are yet to be adopted in pancreatic transplantation: a high-risk surgery with often prolonged length of postoperative stay and high rate of complications. We have analysed the literature in pancreatic and transplantation surgery to identify the necessary preoperative, intra-operative and postoperative components of an ERAS pathway in pancreas transplantation.

摘要

术后加速康复(ERAS)最初始于21世纪初,是一系列旨在改善外科手术患者围手术期护理的方案。其目的是提高患者满意度,同时减少术后并发症和缩短术后住院时间。尽管这些方案在许多外科领域已被广泛采用,但在胰腺移植中尚未采用:胰腺移植是一种高风险手术,术后住院时间往往较长,并发症发生率较高。我们分析了胰腺和移植外科领域的文献,以确定胰腺移植中ERAS路径必要的术前、术中和术后组成部分。

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