加速康复外科理念在胰十二指肠切除术中的应用进展

Progress in the Application of Enhanced Recovery after Surgery Concept in Pancreaticoduodenectomy

摘要: 国内外大量回顾性研究证实加速康复外科(ERAS)理念在外科手术中应用可获得满意结果，这使ERAS理念在外科手术中得到快速推广。胰十二指肠切除术是普外科手术中难度系数相对较高的手术，其手术耗时长、实际操作繁杂、术后并发症多，使得ERAS理念用于胰十二指肠切除术显著落后于其他术式。现阶段ERAS理念用于胰十二指肠切除术依然欠缺高级别的循证医学证据，医务工作者有必要开展严格、随机、前瞻性的临床试验，以证实ERAS理念应用于胰十二指肠切除术的安全性与可行性，从而充实ERAS理念的相关路径及拓展其应用面。本文总结近年来国内外ERAS理念在胰十二指肠切除术中的应用相关文献报道，以期为外科医师提供参考。

Abstract: A large number of retrospective studies at home and abroad have confirmed that the application of ERAS in surgery can achieve satisfactory results, which makes the rapid popularization of ERAS in surgery. Pancreaticoduodenectomy is a relatively difficult operation in general surgery, and its operation time is long, the actual operation is complicated and the postoperative complications are numerous. Therefore, the application of ERAS in pancreaticoduodenectomy is significantly behind that of other surgical methods. At present, there is still a lack of high-level evidence-based medical evidence for the application of ERAS in pancreaticoduodenectomy. Therefore, it is necessary for medical workers to conduct rigorous, randomized and prospective clinical trials to confirm the safety and feasibility of the application of ERAS in pancreaticoduodenectomy, so as to enrich the relevant pathways of ERAS and expand its application. In this paper, the application of ERAS concept in pancreaticoduodenectomy at home and abroad in recent years is summarized in order to provide reference for surgeons.