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全球对ERAS的看法^® 在胰腺切除术中

Monish Karunakaran^1,2, Didier Roulin³, Shahid Ullah²

¹Department of Surgical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, 500 032, India.

World journal of surgery

|October 3, 2023

概括

全球的外科医生认为,手术后增强恢复 (ERAS) 途径对胰腺切除术 (PD) 有好处. 然而,实施面临的障碍包括对变革的抵抗和缺乏支持,这影响了胰腺手术中的ERAS采用.

科学领域:

手术瘤学手术瘤学
在外科手术期间的医学.
医疗保健服务研究医疗服务研究

背景情况:

在胰腺手术中采用手术后增强恢复 (ERAS) 途径的速度很慢.
低的合规率显著影响了ERAS协议在这个外科领域的有效性.

研究的目的:

探索ERAS周胰腺二切除术 (PD) 的全球认识,看法和当前实践.
为了确定促进ERAS在胰腺瘤切除中实施的促进因素和障碍.

主要方法:

使用了一个名为EPSILON的结构化,基于网络的调查.
该调查通过ERAS协会和国际肝胰腺胆汁协会 (IHPBA) 会员资格分发.
140名受访者参与了调查,其中包括来自学术/教学医院的外科医生.

主要成果:

受访者认识到ERAS合规的好处,包括减少并发症,成本和停留时间,以及改善患者满意度.
确定多学科协调对于ERAS途径的实施和可持续性至关重要.
关键障碍包括从业人员对变革的抵抗,数据收集困难,缺乏行政支持,以及缺乏专门的ERAS护士.

结论:

埃普西隆调查显示,临床医生广泛了解围胰腺二切除术的ERAS益处.
显著的障碍阻碍了这些途径在全球范围内成功实施和可持续性.
解决已识别的障碍对于改善胰腺外科的ERAS采用至关重要.

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