摘要
近年来,加速康复外科(ERAS)理念及路径在我国临床实践被广泛认同与开展,在胰腺外科领域中也逐步开展。由于胰腺外科手术具有疾病复杂、手术难度大、术后并发症发生率高等客观因素,导致ERAS理念在胰腺外科的临床应用在不同胰腺中心差异较大,其相关路径的开展与应用显著滞后于其他学科。目前,ERAS理念在胰腺外科中应用效果的的高级别循证医学证据仍较为缺乏,需要开展高质量临床研究证实其安全性和有效性。评述了目前胰腺外科开展ERAS的可行性及相关热点问题,供同道参考。
In recent years, the concept and clinical path of enhanced recovery after surgery (ERAS) have been widely accepted and applied in clinical practice in China, and it is gradually used in the field of pancreatic surgery. Objective factors such as complexity of disease, difficulties in pancreatic surgeries, and a high incidence rate of postoperative complications have led to the great difference in the clinical application of ERAS concept across pancreas centers, and the application and implementation of related clinical paths in this field is still late than that in other disciplines. At present, there is still a lack of high-level evidence for the application effect of the ERAS concept in pancreatic surgery, and high-quality clinical trials are needed to confirm its safety and efficacy. This article reviews the feasibility of the implementation of ERAS in pancreatic surgery and other hot topics, so as to provide a reference for the research in this field.
作者
田孝东
杨尹默
TIAN Xiaodong;YANG Yinmo(Department of General Surgery, Peking University First Hospital, Beijing 100034, China)
出处
《临床肝胆病杂志》
CAS
北大核心
2019年第5期964-967,共4页
Journal of Clinical Hepatology
基金
国家自然科学基金面上项目(81871954
81672353
81572339)
关键词
胰腺疾病
外科学
加速康复外科
胰十二指肠切除术
pancreatic diseases
surgery
enhance recovery after surgery
pancreaticoduodenectomy
