可能性与可行性：加速康复外科在胰腺外科的开展及应用

The possibility and feasibility of implementation of enhanced recovery after surgery program in pancreatic surgery

胰腺手术创伤大、风险高,自1997年加速康复外科（ERAS）理念提出以来,ERAS在胰腺外科的应用始终不广泛.已有较多研究结果证实,ERAS应用于胰腺外科能够降低术后并发症发生率,加速患者术后康复,达到缩短术后住院时间和降低住院费用的目的.采用系统性的实施策略能够有效促进ERAS的临床开展并产生临床效益,包括建立多学科合作模式、制定管理流程、运行核查及风险防范措施、提高患者参与度、设立出院标准、完善再入院体系等.因此,ERAS在胰腺外科的开展和应用具备较好的可能性和可行性.

Although the concept of enhanced recovery after surgery （ERAS） had been raised for nearly 20 years,the application of ERAS in pancreatic surgery is still restricted because of great trauma and high incidence of postoperative complications.ERAS have demonstrated significantly accelerated postoperative recovery in pancreatic resections.Large amounts of researches confirmed that using an ERAS protocol in pancreatic surgery could help reduce overall morbidity and shorten postoperative length of hospital stay and reduce in-hospital costs.Systemic standard operating procedure could improve executive ability of the ERAS system,including establishing multi-disciplinary team,making management processes,developing verification regime,guarding against medical risks,increasing patient engagement,setting discharge criteria,improving re-admission system.In conclusion,ERAS can be realized in pancreatic surgery and will get substantial development in future.