术后加速康复方案优化了腹腔镜根治性肾切除术的效果和成本。
Enhanced Recovery After Surgery Protocol Optimizes Results and Cost of Laparoscopic Radical Nephrectomy.
作者信息
Chen Siming, He Zhiwen, Yao Shijie, Xiong Kangping, Shi Jiageng, Wang Gang, Qian Kaiyu, Wang Xinghuan
机构信息
Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
出版信息
Front Oncol. 2022 Apr 4;12:840363. doi: 10.3389/fonc.2022.840363. eCollection 2022.
PURPOSE
To assess the impact of enhanced recovery after surgery (ERAS) protocols in laparoscopic radical nephrectomy (LRN).
METHODS
The clinical data of 89 patients underwent LRN in Zhongnan Hospital of Wuhan University from February 2019 to September 2021 were collected (40 in the ERAS group and 49 in the pre-ERAS group). The clinical characteristics, prognosis, and length of hospital stay (LOS) were compared between the two groups using t test, Mann-Whitney test, and chi-square test.
RESULTS
Total LOS and postoperative LOS were significantly shorter in ERAS group than in pre-ERAS group [15.0 (13.5-19.5) . 12.0 (10.0-14.0), P < 0.001; 8.0 (7.0-10.0) . 7.0 (5.0-8.8), P = 0.001]. Compared with the pre-ERAS group, the hospitalization expenses of the ERAS group were also lower (P = 0.023). In addition, the incidence of postoperative complications in the ERAS group also decreased (P = 0.054).
CONCLUSIONS
ERAS protocol in LRN could help accelerate the recovery of patients and is worthy of clinical promotion.
目的
评估手术加速康复（ERAS）方案在腹腔镜根治性肾切除术（LRN）中的影响。
方法
收集2019年2月至2021年9月在武汉大学中南医院接受LRN的89例患者的临床资料（ERAS组40例，ERAS前组49例）。采用t检验、Mann-Whitney检验和卡方检验比较两组患者的临床特征、预后和住院时间（LOS）。
结果
ERAS组的总住院时间和术后住院时间均显著短于ERAS前组[15.0（13.5-19.5）对12.0（10.0-14.0），P<0.001；8.0（7.0-10.0）对7.0（5.0-8.8），P=0.001]。与ERAS前组相比，ERAS组的住院费用也更低（P=0.023）。此外，ERAS组术后并发症的发生率也有所降低（P=0.054）。
结论
LRN中的ERAS方案有助于加速患者康复，值得临床推广。
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