摘要
目的:探讨加速康复外科(ERAS)理念在腹腔镜膀胱全切回肠原位膀胱术围手术期中的应用效果。方法:回顾性分析青岛大学附属医院2016年10月-2019年12月收治的70例接受腹腔镜膀胱全切回肠原位膀胱术患者的临床资料,将其随机分配为对照组及观察组。对照组围手术期应用常规治疗理念管理,观察组围手术期应用ERAS理念管理,两组患者手术均由同一医师完成。比较两组患者的围手术期情况、术后恢复情况及术后生存质量评分等。结果:观察组患者术后首次进食时间、首次排气时间、首次排便时间、首次下床活动时间、术后引流管拔除时间、术后住院天数、住院费用及术后并发症发生率均明显低于对照组(P<0.05);观察组的术后生存质量评分明显高于对照组(P<0.05);两组患者术中出血量、手术时间相近,均差异无统计学意义(P>0.05)。结论:加速康复外科理念能促进腹腔镜膀胱全切回肠原位膀胱术患者的恢复,缩短住院时间,且并发症发生率不高,值得进一步应用和推广。
Objective:To investigate the applied value of Enhanced Recovery After Surgery(ERAS)concept in laparoscopic radical cystectomy with orthotopic ileal neobladder.Methods:The clinical data of 70 cases who accepted laparoscopic radical cystectomy with orthotopic ileal neobladder during October 2016 to December 2019 were retrospectively analyzed,and all patients were divided randomly into the control group and the observation group.The control group was given concept management of conventional treatment during perioperative period,and the observation group was given ERAS concept management during perioperative period.The operations of the two groups were performed by the same surgeons.The perioperative situation and postoperative recovery and postoperative QoLs of the two groups were compared.Results:The first feeding time,the first time of exsufflation,the first stool time,the first time out of bed,the postoperative drainage tube removal time,the postoperative hospitalization time,the hospitalization cost and the postoperative complication rate in the observation group were significantly better than those in the control group(P<0.05).The QoLs in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference between the two groups in the volume of bleeding during operation and the operative time(P<0.05).Conclusion:Application of ERAS concept in laparoscopic radical cystectomy with orthotopic ileal neobladder can promote the postoperative recovery of patients and sharply reduce the hospitalization cost with low postoperative complications rate,which is worthy of further application and extension.
作者
隋元明
邢念增
张宗亮
赵凯
王振林
张玉莲
赵海卫
李晨
李雪禹
张学宝
郭珈铭
种丽强
牛海涛
王科
SUI Yuanming;XING Nianzeng;ZHANG Zongliang;ZHAO Kai;WANG Zhenlin;ZHANG Yulian;ZHAO Haiwei;LI Chen;LI Xueyu;ZHANG Xuebao;GUO Jiaming;CHONG Liqiang;NIU Haitao;WANG Ke(Department of Urologic,Affiliated Hospital of Qingdao University,Qingdao 266555,China;Department of Urologic,Beijing Chaoyang Hospital,Capital Medical University;Department of Gynaecology,Affiliated Hospital of Qingdao University;Department of Urologic,Yantai Yeda Hospital)
出处
《微创泌尿外科杂志》
2021年第1期45-49,共5页
Journal of Minimally Invasive Urology
关键词
膀胱全切
回肠原位膀胱术
腹腔镜
加速康复外科
radical cystectomy
orthotopic ileal neobladder
laparoscopy
enhanced recovery after surgery
作者简介
通信作者:王科,wangke6910@sina.com
