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浙江大学学报（医学版）
J Zhejiang Univ (Med Sci)  2017, Vol. 46 Issue (6): 666-674    DOI: 10.3785/j.issn.1008-9292.2017.12.15
    
Present situation and prospect of enhanced recovery after surgery in pancreatic surgery
FENG Mengyu(),ZHANG Taiping*(),ZHAO Yupei
Department of General Surgery, Peking Union Medical College Hospital, Beijing 100730, China
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Abstract  

Enhanced recovery after surgery is a multimodal perioperative strategy according to the evidence-based medicine and multidisciplinary collaboration, aiming to improve the restoration of functional capacity after surgery by reducing surgical stress, optimal control of pain, early oral diet and early mobilization. Compared with other sub-specialty in general surgery, pancreatic surgery is characterized by complex disease, highly difficult procedure and more postoperative complications. Accordingly, pancreatic surgery shares a slow development in enhanced recovery after surgery. In this review, the feasibility, safety, application progress, prospect and controversy of enhanced recovery after surgery in pancreatic surgery are discussed.

Key words： Enhanced recovery after surgery      Pancreas/surgery      Intraoperative period      Postoperative complications/rehabilitation      Rehabilitation/methods      Safety      Feasibility studies      Review     
Received: 02 September 2017      Published: 25 December 2017
CLC:  R657.5  
  R49  
Corresponding Authors: ZHANG Taiping     E-mail: fmy0321@126.com;tpingzhang@yahoo.com
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FENG Mengyu
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Cite this article:

FENG Mengyu,ZHANG Taiping,ZHAO Yupei. Present situation and prospect of enhanced recovery after surgery in pancreatic surgery. J Zhejiang Univ (Med Sci), 2017, 46(6): 666-674.

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http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2017.12.15     OR     http://www.zjujournals.com/med/Y2017/V46/I6/666


加速康复外科在胰腺外科中的应用

加速康复外科是基于循证医学证据，在多学科协作的基础上提出的一系列围手术期优化处理措施，可以通过减轻手术应激反应、合理的疼痛管理、早期恢复经口饮食和早期活动，达到加速术后康复的目的。与普通外科其他亚专科相比，胰腺外科具有疾病复杂、手术难度大、术后并发症发生率高等特点，因此，加速康复外科在胰腺外科中的应用相对滞后。本文针对胰腺外科的特点，首先探讨了加速康复外科在胰腺外科中应用的可行性和安全性，然后从术前干预、术中和术后管理三个层面详细阐述了加速康复外科在胰腺外科中的应用进展。


关键词： 加速康复外科,  胰腺/外科学,  手术期间,  手术后并发症/康复,  康复/方法,  安全性,  可行性研究,  综述 
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