Jin Ou, Xu Tiebing, Lai Juan, He Junxia, Wu Yongfeng, Yang Xiaomin
Department of Gynecology, Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang University of Traditional Chinese Medicine, Jiaxing, Zhejiang, 314000, China.
Shenyang Sujiatun District Women's and Children's Hospital, Shenyang, 110101, China.
BMC Womens Health. 2025 Mar 14;25(1):120. doi: 10.1186/s12905-025-03626-1.
To explore the impact of enhanced recovery after surgery (ERAS) optimization concept process on the perioperative period of gynecologic laparoscopic surgery.
This retrospective observational study included patients who underwent gynecologic laparoscopic surgery based on ERAS concept process optimization (ERAS group) for uterine fibroids, adenomyosis, and ovarian cysts at Jiaxing Hospital of Traditional Chinese Medicine between January 2023 and December 2023. Patients who underwent the same laparoscopic protocol without ERAS concept process optimization between January 2022 and December 2022 were matched as the control group (non-ERAS group). Postoperative indexes and patient satisfaction were compared between the two groups.
A total of 120 patients were included, with 60 of who underwent gynecologic laparoscopic surgery (total laparoscopic hysterectomy, TLH: n = 20; laparoscopic myomectomy, LM: n = 20; laparoscopic ovarian cystectomy, LOC: n = 20) based on ERAS (ERAS group), and the other 60 of who underwent gynecologic laparoscopic surgery (TLH: n = 20, LM: n = 20, LOC: n = 20) without ERAS (non-ERAS). In patients received gynecologic laparoscopic surgery of ERAS group, the time of first postoperative gas evacuation, the time of semi-liquid recovery, the time of urination, the time of incision pain, and the length of hospital stay were significantly shorter (all P < 0.001), and the number of nausea and vomiting was significantly reduced (all P < 0.001) compared with those in the non-ERAS group. Besides, satisfaction of patients receiving ERAS was significantly higher than in the non-ERAS group (TLH: P < 0.01; LM and LOC: P < 0.001).
ERAS optimization for gynecologic laparoscopic surgery improved patients' outcomes, reduced complications, and improved patient's satisfaction.
探讨手术加速康复（ERAS）优化理念流程对妇科腹腔镜手术围手术期的影响。
这项回顾性观察研究纳入了2023年1月至2023年12月期间在嘉兴市中医医院基于ERAS理念流程优化接受妇科腹腔镜手术（ERAS组）治疗子宫肌瘤、子宫腺肌病和卵巢囊肿的患者。将2022年1月至2022年12月期间接受相同腹腔镜手术方案但未进行ERAS理念流程优化的患者作为对照组（非ERAS组）。比较两组的术后指标和患者满意度。
共纳入120例患者，其中60例基于ERAS接受妇科腹腔镜手术（全腹腔镜子宫切除术，TLH：n = 20；腹腔镜子宫肌瘤切除术，LM：n = 20；腹腔镜卵巢囊肿切除术，LOC：n = 20）（ERAS组），另外60例接受未采用ERAS的妇科腹腔镜手术（TLH：n = 20，LM：n = 20，LOC：n = 20）（非ERAS组）。与非ERAS组相比，接受ERAS妇科腹腔镜手术的患者术后首次排气时间、半流质恢复时间、排尿时间、切口疼痛时间和住院时间均显著缩短（均P < 0.001），恶心呕吐次数显著减少（均P < 0.001）。此外，接受ERAS治疗的患者满意度显著高于非ERAS组（TLH：P < 0.01；LM和LOC：P < 0.001）。
妇科腹腔镜手术的ERAS优化改善了患者的预后，减少了并发症，并提高了患者满意度。
