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  

After the end of the flowers:the bottleneck and prospect of application of the concept of enhanced recovery after surgery in pancreatic surgery

作　　者：杨尹默[1] 马永蔌[1] 朱昱 Yang Yinmo;Ma Yongsu;Zhu Yu(Department of Hepatobiliary and Pancreatic Surgery,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院肝胆胰外科,北京100034

出　　处：《中华消化外科杂志》2025年第1期72-76,共5页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82171722,82471772)。

摘　　要：胰腺外科患者术前营养不良发生率高,手术创伤大,术后并发症多,加速康复外科流程实践难度大。经过近20年的发展,加速康复理念在胰腺外科已形成成熟的指南与共识,但其应用面临各医学中心差异大、循证级别低、康复流程完成度不足等问题,期刊发文量增长停滞,研究热度有退潮趋势。笔者结合国内外文献,从过程管理、预康复和营养管理等方面解析加速康复外科应用于胰腺癌的瓶颈并展望未来的研究方向。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.

关 键 词：胰腺肿瘤 胰腺手术 加速康复外科 过程管理 预康复 营养管理 

分 类 号：R735.9[医药卫生—肿瘤]