规范化加速康复外科管理在胰十二指肠切除术中的临床应用

Standardized enhanced recovery after surgery pathway in patients undergoing pancreaticoduodenectomy

目的:评估规范化加速康复外科(enhanced recovery after surgery,ERAS)管理应用于胰十二指肠切除术(pancreaticoduodenectomy,PD)的有效性和安全性。方法:纳入2019年1月到2020年1月在华中科技大学同济医学院附属协和医院胰腺外科进行ERAS管理的198例胰十二指肠切除患者,其中102例患者按我科制订的胰腺手术ERAS量表实施规范化ERAS管理(规范化ERAS组),96例患者按ERAS理念对患者进行管理,但不要求按ERAS量表严格执行(ERAS理念组)。结果:相较于仅按ERAS理念对胰十二指肠切除术患者进行术后管理,规范化ERAS管理增加了患者接受的ERAS治疗措施,患者恢复更快,住院时间更少。结论:对胰十二指肠切除术患者进行规范化ERAS管理能够减少患者住院时间,有利于患者更快更好地康复。

Objective:To evaluate the efficacy and safety of standardized enhanced recovery after surgery(ERAS)in pancreaticoduodenectomy(PD).Methods:A total of 198 patients undergoing PD were included in ERAS in Department of Pancreatic Surgery from January 2019 to January 2020.One hundred and two patients received standardized ERAS management according to the pancreatic surgery ERAS scale formulated by our department(the standardized ERAS group),and 96 patients were managed according to the ERAS concept,but not strictly according to the ERAS scale(the ERAS concept group).Results:Compared with the postoperative management of patients undergoing PD only according to ERAS concept,the standardized ERAS management increased the ERAS treatment measures,the patients recovered faster,and the length of hospital stay was reduced.Conclusion:Standardized ERAS management for patients undergoing PD reduces the length of hospital stay and help patients recover faster and better.