CAJ | 학술논문

加速康复外科(ERAS)包括术前对患者进行宣传教育,术中有效的麻醉、镇痛及精确的外科技术以及术后早期康复治疗.由于胰腺解剖位置的特殊和胰腺手术本身技术难度高,学习曲线长,患者术后并发症发生率高,加速康复的实践在胰腺外科的应用始终不广泛.但ERAS能减少手术应激,降低术后并发症发生率,加速患者术后康复,缩短术后住院时间,降低住院费用的优势已被许多临床研究证实,也是胰腺外科发展的方向.如何在追求最佳预后与加速康复上找到最佳平衡点是胰腺外科医师应该重视和思考的问题.
가속강복외과(ERAS)포괄술전대환자진행선전교육,술중유효적마취、진통급정학적외과기술이급술후조기강복치료.유우이선해부위치적특수화이선수술본신기술난도고,학습곡선장,환자술후병발증발생솔고,가속강복적실천재이선외과적응용시종불엄범.단ERAS능감소수술응격,강저술후병발증발생솔,가속환자술후강복,축단술후주원시간,강저주원비용적우세이피허다림상연구증실,야시이선외과발전적방향.여하재추구최가예후여가속강복상조도최가평형점시이선외과의사응해중시화사고적문제.
Enhanced recovery after surgery (ERAS) includes preoperative education,intraoperative effective anaesthetization,analgesia,precision surgical techniques and postoperative early rehabilitation.Because of special location of the pancreas,difficulty of surgical techniques,longtime of learning and high incidence of postoperative complications,the application of ERAS in pancreatic surgery is restricted.While ERAS could reduce the stress after surgery and the incidence of complications,promote the recovery of patients,shorten the duration of hospital stay and reduce the expenses,which are confirmed by clinical practice.ERAS is the trend of the development of pancreatic surgery.How to balance the optimal prognosis and speed recovery is need to be resolved by pancreatic surgeons.