Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Surg Clin North Am. 2018 Dec;98(6):1251-1264. doi: 10.1016/j.suc.2018.07.011. Epub 2018 Aug 24.
Enhanced recovery after surgery (ERAS) pathways target specific areas within perioperative patient care in a multidisciplinary and evidence-based manner. Because of the subsequent positive outcomes associated with its use, ERAS has expanded to most surgical subspecialties, including hepatopancreatobiliary surgery. Although certain concepts are universal to all ERAS protocols, there are unique areas of emphasis pertaining to the hepatopancreatobiliary specialties, which will be highlighted throughout this article. In addition, some of the less frequently discussed aspects of enhanced recovery, including patient-reported outcomes, recovery assessment, cost, and auditing, will be addressed.
术后加速康复(ERAS)路径以多学科和循证的方式针对围手术期患者护理的特定领域。由于其使用后带来的积极结果,ERAS 已扩展到大多数外科亚专科,包括肝胆胰外科。尽管所有 ERAS 方案都有某些通用概念,但肝胆胰专科有其独特的重点领域,本文将对此进行重点介绍。此外,还将讨论一些不太常讨论的增强恢复方面,包括患者报告的结果、恢复评估、成本和审核。