Diseases in Hepatobiliary Pancreatic Surgery
Conditions
Interventions
Control group (Part 3):The current ERAS pathway management plan for this department
Intervention group (Part 3):A scientific, targeted, practical, and actionable precise ERAS promotion and management path for liver, gallbladder, and pancreatic surgery formed through the research
ERAS multidisciplinary members and ERAS patients (Part 1):None
ERAS Multidisciplinary Members Group (Part 1):None
Consultation Expert for Symposium Group (Part 2):None
Sponsors
The First Affiliated Hospital of Xinjiang Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Study Part 1: A cross-sectional study of the current status of the application and management of the ERAS model in hepatobiliary and pancreatic surgery: The inclusion criteria for hospitals are: ? tertiary Grade A hospitals; ? Comprehensive or specialized hospitals; ? The hospital's liver, gallbladder, and pancreatic surgery department has implemented the ERAS model for at least 1 year; ? The relevant department head of the hospital agrees to participate in this study. Inclusion criteria for ERAS multidisciplinary members: ? Surgeons, anesthesiologists, nurses, and nutritionists with professional qualifications; ? Having 5 years or more of experience in clinical work; ? Currently participating in ERAS related work; ? Willing to express one's own opinions and ideas, able to communicate effectively, and able to express one's experiences and experiences in clear, concise, and logical language; ? Informed consent and voluntary participation in this study. Inclusion criteria for ERAS patients: ? Patients aged between 18 and 80 years old; ? Liver, gallbladder, and pancreatic surgery are required; ? The ERAS pathway was applied during the perioperative period; ? Willing to express one's own opinions and ideas, able to communicate effectively, and able to express one's experiences and experiences in clear, concise, and logical language; ? Informed consent and voluntary participation in this study. Research Part 2:Research on the construction of ERAS precision promotion and management pathway for hepatobiliary and pancreatic surgery: The inclusion criteria for ERAS multidisciplinary members are: (1) Intermediate title or above, (2) Master's degree or above, (3) Engaged in hepatobiliary and pancreatic surgery for more than 5 years, (4) Voluntarily participate in this study. Inclusion criteria for experts consulted by the symposium and Delphi experts: (1) Senior professional title, (2) Master's degree or above, (3) Organization or engagement in work related to the ERAS model of hepatobiliary and pancreatic surgery for more than 5 years, and (4) Voluntary participation in this study. Research Part 3: Randomized Controlled Trials (i.e. Validation Phase): ? Patients undergoing elective surgery in liver, gallbladder, and pancreas surgery; ? Age = 18 years old; ? Complete clinical data; ? Informed consent and voluntary participation in this study.
Exclusion criteria
Exclusion criteria: Study Part 1: A cross-sectional study of the current status of the application and management of the ERAS model in hepatobiliary and pancreatic surgery: ERAS multidisciplinary member exclusion criteria: insufficient time to participate in the investigation. Enclusion Criteria for ERAS patients: insufficient time to participate in the investigation. Research Part 3: Randomized Controlled Trials (i.e. Validation Phase): ? Individuals with severe mental disorders or consciousness disorders who are unable to cooperate; ? Previous history of hepatobiliary and pancreatic surgery, combined with infectious diseases, metabolic diseases, tuberculosis and pregnant patients; ? Patients who undergo chemotherapy, radiation therapy, or other special treatments within 30 days before and/or after surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospitalization time (Part 3);Path implementation rate (Part3);Path compliance rate(Part 3);Sore of the scale (Part 1);Expert opinion (Part 2) ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of complications (Part 3);Days after surgery before offbed activety(Part 3);Days after surgery before anal exhausting(Part 3);Days after surgery before restoring intestinal diet (Part 3);Pain score (Part 3);Hospitalization expenses (Part 3); | — |
Countries
China
Contacts
Public ContactWang Dan; Shao Yingmei
Xinjiang Medical University; The First Affiliated Hospital of Xinjiang Medical University
Outcome results
None listed