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胰腺手术中的加速康复外科(ERAS):外科医生的观点

Enhanced Recovery After Surgery (ERAS) in Pancreatic Surgery: The Surgeon's Point of View.

作者信息

Longo Fabio, Panza Edoardo, Rocca Lorenzo, Biffoni Beatrice, Lucinato Chiara, Cintoni Marco, Mele Maria Cristina, Papa Valerio, Fiorillo Claudio, Quero Giuseppe, De Sio Davide, Menghi Roberta, Alfieri Sergio, Langellotti Lodovica

机构信息

Digestive Surgery Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.

UOC Nutrizione Clinica, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy.

出版信息

J Clin Med. 2024 Oct 18;13(20):6205. doi: 10.3390/jcm13206205.

Abstract

Pancreatic surgery is complex and associated with higher rates of morbidity and mortality compared to other abdominal surgeries. Over the past decade, the introduction of new technologies, such as minimally invasive approaches, improvements in multimodal treatments, advancements in anesthesia and perioperative care, and better management of complications, have collectively improved patient outcomes after pancreatic surgery. In particular, the adoption of Enhanced Recovery After Surgery (ERAS) recommendations has reduced hospital stays and improved recovery times, as well as post-operative outcomes. The aim of this narrative review is to highlight the surgeon's perspective on the ERAS program for pancreatic surgery, with a focus on its potential advantages for perioperative functional recovery outcomes.

摘要

与其他腹部手术相比,胰腺手术较为复杂,发病率和死亡率更高。在过去十年中,新技术的引入,如微创方法、多模式治疗的改进、麻醉和围手术期护理的进步以及并发症的更好管理,共同改善了胰腺手术后的患者预后。特别是,采用加速康复外科(ERAS)建议缩短了住院时间,改善了恢复时间以及术后预后。本叙述性综述的目的是强调外科医生对胰腺手术ERAS方案的看法,重点关注其对围手术期功能恢复结果的潜在优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2495/11508928/c3dafc05689e/jcm-13-06205-g001.jpg

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