After the end of the flowers: the bottleneck and prospect of application of the concept of enhanced recovery after surgery in pancreatic surgery
10.3760/cma.j.cn115610-20250113-00018
- VernacularTitle:繁花落尽之后：再谈加速康复理念在胰腺外科应用的瓶颈与展望
- Author:
Yinmo YANG
1
;
Yongsu MA
1
;
Yu ZHU
1
Author Information
1. 北京大学第一医院肝胆胰外科，北京 100034
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Pancreatic surgery;
Enhanced recovery after surgery;
Process management;
Pre-rehabilitation;
Nutrition management
- From:
Chinese Journal of Digestive Surgery
2025;24(1):72-76
- CountryChina
- Language:Chinese
-
Abstract:
Patients with pancreatic surgery have a high incidence of preoperative malnutri-tion, large surgical trauma, and many postoperative complications. The practice of enhanced recovery after surgery is difficult. After nearly 20 years of development, the concept of enhanced recovery after surgery (ERAS) has formed mature guidelines and consensus in pancreatic surgery. However, its application is faced with problems such as large central differences, low level of evidence-based, and insufficient completion of rehabilitation processes. The growth of publications in journals on related topics has stagnated, and the research heat has a trend of ebbing. Based on the literature at home and abroad, the authors analyze the bottleneck of application of enhanced recovery after surgery in pancreatic cancer from the aspects of process management, pre-rehabilitation and nutrition management, and look forward to the future research direction.
