The Application of Enhanced Recovery after Surgery on Pancreaticoduodenectomy

Department of Hepatobiliary&PancreasSurgery, The No.2 Hospital, Jilin University, Changchun

Abstract

enhanced recovery after surgery was firstly proposed by Danish surgeon Kehlet in 2001. It can reduce stress and trauma as well as postoperative complications and accelerate rehabilitation of patients with preoperative, intraoperative and postoperative application of a series of effective measures based on evidence-based medicine. Its philosophy conforms to modern biology-psychology-social medical model and medical ethics standards while relieving patients’ pain, reducing costs and shortening hospitalization time. Its contents can be summarized as: (1) preoperative propaganda and education; (2) effective anesthesia and analgesia; (3) accurate surgical operation; (4) postoperative rehabilitation. With theproposal and gradual recognition of ERAS concept, it has been well applied in the surgeries of gastrointestinal tract, thyroid, breast, urinary system, etc. Corresponding diagnosis standards have been summarized. Especially in the colorectal surgery, the application effect is the most significant. But the concept of ERAS still has great controversy in surgical fields because of complicated operation, great trauma, various complications such as liver surgery and pancreatic operation, so it has not been widely recognized.