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SHI Qun, DENG Zexun, PENG Xinxin, GU Xiao, WU Yinxia, GUO Baoyu, GUO Zhe, YU Junjie. Application of enhanced recovery after surgery in laparoscopic partial nephrectomy[J]. Journal of Clinical Medicine in Practice, 2021, 25(6): 34-37, 41. DOI: 10.7619/jcmp.20201522
Citation: SHI Qun, DENG Zexun, PENG Xinxin, GU Xiao, WU Yinxia, GUO Baoyu, GUO Zhe, YU Junjie. Application of enhanced recovery after surgery in laparoscopic partial nephrectomy[J]. Journal of Clinical Medicine in Practice, 2021, 25(6): 34-37, 41. DOI: 10.7619/jcmp.20201522
shu

Application of enhanced recovery after surgery in laparoscopic partial nephrectomy

  • 1.

    Department of Urological Surgery, Xianning Central Hospital of Hubei Province, First Affiliated Hospital of Hubei University of Science and Technology, Xianning, Hubei, 437100

  • 2.

    Department of Urological Surgery, Clinical Medical College of Yangzhou University, Yangzhou, Jiangsu, 225001

  • 3.

    Department of Oncology, Clinical Medical College of Yangzhou University, Yangzhou, Jiangsu, 225001

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  • Received Date: November 22, 2020
  • Available Online: April 08, 2021
  • Published Date: March 27, 2021
    Graphical Abstract
    • Abstract
  •   Objective  To explore the safety and effectiveness of the concept of enhanced recovery after surgery (ERAS) applied to the perioperative management of patients undergoing laparoscopic partial nephrectomy.
      Methods  A total of 105 patients with laparoscopic partial nephrectomy were divided into ERAS group (n=55) and control group (n=50). The conventional perioperative protocol was used in the control group, and the ERAS protocol was used in the ERAS group. The postoperative recovery, stress indexes and incidence of complications were compared between the two groups, and the unexpected readmission rate at one month after surgery was compared during follow-up.
      Results  After operation, the first time of drinking water, first time of ventilation, first time of getting out of bed, indwelling time of drainage tube, indwelling time of urinary tube and postoperative hospitalization time in the ERAS group were significantly shorter than those in control group (P < 0.05). The 24 hours postoperative pain score of the ERAS group was significantly lower than that of the control group (P < 0.05). Serum white blood cell count (WBC) at the 3rd day after surgery and C-reactive protein (CRP) levels at the 3rd and 5th day after surgery of the ERAS group were significantly lower than those of the control group (P < 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05).
      Conclusion  ERAS is safe for perioperative management of patients undergoing laparoscopic partial nephrectomy. At the same time, it can relieve postoperative stress reaction and promote early postoperative recovery.
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    • References (19)
  • [1]
    KEHLET H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth, 1997, 78(5): 606-617. doi: 10.1093/bja/78.5.606
    [2]
    NELSON G, KIYANG L N, CRUMLEY E T, et al. Implementation of enhanced recovery after surgery(ERAS)across a provincial healthcare system: the ERAS Alberta colorectal surgery experience[J]. World J Surg, 2016, 40(5): 1092-1103. doi: 10.1007/s00268-016-3472-7
    [3]
    ORE A S, SHEAR M A, LIU F W, et al. Adoption of enhanced recovery after laparotomy in gynecologic oncology[J]. Int J Gynecol Cancer, 2020, 30(1): 122-127. doi: 10.1136/ijgc-2019-000848
    [4]
    CUI H M, SUN Z Y, RUAN J H, et al. Effect of enhanced recovery after surgery(ERAS)pathway on the postoperative outcomes of elbow arthrolysis: a randomized controlled trial[J]. Int J Surg, 2019, 68: 78-84. doi: 10.1016/j.ijsu.2019.06.010
    [5]
    陈泉, 郑一鸣, 王鹏程, 等. 基于加速康复外科的隐蔽切口单孔胸腔镜手术对自发性气胸的临床疗效[J]. 实用临床医药杂志, 2019, 23(23): 98-100. doi: 10.7619/jcmp.201923030
    [6]
    SIEGEL R L, MILLER K D, JEMAL A. Cancer statistics, 2019[J]. CA Cancer J Clin, 2019, 69(1): 7-34. doi: 10.3322/caac.21551
    [7]
    孙颖浩, 黄健. 中国泌尿外科和男科疾病诊断治疗指南(2019版)[M]. 北京: 科学出版社, 2020.
    [8]
    DASKIVICH T J, TAN H J, LITWIN M S, et al. Life expectancy and variation in treatment for early stage kidney cancer[J]. JUrol, 2016, 196(3): 672-677. http://europepmc.org/abstract/MED/27012644
    [9]
    马佳男, 高宝山, 位海建, 等. 肾部分切除术与肾癌根治术对T1b期肾癌临床价值的Meta分析[J]. 中国实验诊断学, 2018, 22(1): 30-33. doi: 10.3969/j.issn.1007-4287.2018.01.011
    [10]
    RODRIGUES PESSOA R, URKMEZ A, KUKREJA N, et al. Enhanced recovery after surgery review and urology applications in 2020[J]. BJUI Compass, 2020, 1(1): 5-14. doi: 10.1002/bco2.9
    [11]
    SØREIDE E, ERIKSSON L I, HIRLEKAR G, et al. Pre-operative fasting guidelines: an update[J]. Acta Anaesthesiol Scand, 2005, 49(8): 1041-1047. doi: 10.1111/j.1399-6576.2005.00781.x
    [12]
    ACKERMAN R S, TUFTS C W, DEPINTO D G, et al. How sweet is this A review and evaluation of preoperative carbohydrate loading in the enhanced recovery after surgery model[J]. Nutr Clin Pract, 2020, 35(2): 246-253. doi: 10.1002/ncp.10427
    [13]
    SINGH M, CHAUDHARY M, VASHISTHA A, et al. Evaluation of effects of a preoperative 2-hour fast with glutamine and carbohydrate rich drink on insulin resistance in maxillofacial surgery[J]. J Oral Biol Craniofac Res, 2015, 5(1): 34-39. doi: 10.1016/j.jobcr.2015.02.006
    [14]
    YADEAU J T, BRUMMETT C M, MAYMAN D J, et al. Duloxetine and subacute pain after knee arthroplasty when added to a multimodal analgesic regimen: a randomized, placebocontrolled, triple-blinded trial[J]. Anesthesiology, 2016, 125(3): 561-572. doi: 10.1097/ALN.0000000000001228
    [15]
    Phillips W J, Currier B L. Analgesic pharmacology: I. Neurophysiology[J]. Journal of the American Academy of Orthopaedic Surgeons, 2004, 12(4): 213-220. doi: 10.5435/00124635-200407000-00002
    [16]
    胡荣, 翁延宏, 刘爱彬. 基于加速康复外科理念的多模式镇痛在结肠、直肠肿瘤术后的应用[J]. 实用临床医药杂志, 2019, 23(1): 59-62. doi: 10.7619/jcmp.201901016
    [17]
    罗洁, 洪轶颖, 柯丹丹, 等. 多团队协作干预方案在腹腔镜下肾部分切除术后患者早期活动中的应用研究[J]. 加速康复外科杂志, 2019(3): 108-111.
    [18]
    陈建英, 韩晓, 张丹. 腹腔镜肾部分切除患者术后早期活动的临床安全性研究[J]. 医学临床研究, 2016(6): 1165-1167.
    [19]
    MENAHEM B, VALLOIS A, ALVES A, et al. Prophylactic pelvic drainage after rectal resection with extraperitoneal anastomosis: is it worthwhile A meta-analysis of randomized controlled trials[J]. Int J Colorectal Dis, 2017, 32(11): 1531-1538. doi: 10.1007/s00384-017-2891-8
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