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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.

DOI:10.3390/jcm10071418
PMID:33915899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8036565/
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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引用本文的文献

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本文引用的文献

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Too Fat for Transplant? The Impact of Recipient BMI on Pancreas Transplant Outcomes.太胖不适合移植?受体 BMI 对胰腺移植结果的影响。
Transplantation. 2021 Apr 1;105(4):905-915. doi: 10.1097/TP.0000000000003334.
2
Pancreas transplantation would be easy if the recipients were not diabetic: A practical guide to post-operative management of diabetic complications in pancreas transplant recipients.如果受者没有糖尿病,胰腺移植将会很容易:胰腺移植受者术后糖尿病并发症处理实用指南。
Clin Transplant. 2021 May;35(5):e14270. doi: 10.1111/ctr.14270. Epub 2021 Mar 11.
3
A randomized clinical trial on the effect of a lidocaine patch on shoulder pain relief in laparoscopic cholecystectomy.一项关于利多卡因贴剂对腹腔镜胆囊切除术患者肩部疼痛缓解效果的随机临床试验。
Sci Rep. 2021 Jan 13;11(1):1052. doi: 10.1038/s41598-020-80289-y.
4
Long-term Lower Extremity and Cardiovascular Complications after Simultaneous Pancreas-Kidney Transplant.胰肾联合移植后下肢和心血管长期并发症。
Clin Transplant. 2021 Mar;35(3):e14195. doi: 10.1111/ctr.14195. Epub 2021 Jan 11.
5
Passive Versus Active Intra-Abdominal Drainage Following Pancreaticoduodenectomy: A Retrospective Study Using The American College of Surgeons NSQIP Database.胰十二指肠切除术后被动与主动腹腔引流的比较:使用美国外科医师学会 NSQIP 数据库的回顾性研究。
World J Surg. 2021 Feb;45(2):554-561. doi: 10.1007/s00268-020-05823-5. Epub 2020 Oct 19.
6
Risk Factors for Early Pancreatic Allograft Thrombosis Following Simultaneous Pancreas-Kidney Transplantation: A Systematic Review.风险因素对于胰肾联合移植术后早期胰腺移植物血栓形成的影响:一项系统评价
Clin Appl Thromb Hemost. 2020 Jan-Dec;26:1076029620942589. doi: 10.1177/1076029620942589.
7
A community-based pharmacist-led smoking cessation program, before elective total joint replacement surgery, markedly enhances smoking cessation rates.在择期全关节置换手术前,由社区药剂师主导的戒烟项目能显著提高戒烟率。
Tob Induc Dis. 2020 Sep 14;18:78. doi: 10.18332/tid/126405. eCollection 2020.
8
Effect of Early Mobilization on Physical Function in Patients after Cardiac Surgery: A Systematic Review and Meta-Analysis.早期活动对心脏手术后患者身体功能的影响:系统评价和荟萃分析。
Int J Environ Res Public Health. 2020 Sep 28;17(19):7091. doi: 10.3390/ijerph17197091.
9
Aorto-Iliac Artery Calcification Prior to Kidney Transplantation.肾移植前的主-髂动脉钙化
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World J Transplant. 2020 Jul 29;10(7):206-214. doi: 10.5500/wjt.v10.i7.206.