Effect of enhanced recovery after surgery-based anesthesia resuscitation on awakening quality in da Vinci robotic rectal cancer surgery.

Abstract

Background: Rectal cancer is a common digestive tract malignancy influenced by genetic, dietary, and environmental factors. While traditional open surgery is effective, it often leads to significant recovery challenges and complications. The da Vinci robotic system provides a minimally invasive option, enhancing precision and reducing recovery time. However, the anesthesia recovery phase is critical for effective patient outcomes, particularly in older individuals. This study explores the impact of enhanced recovery after surgery (ERAS)-based anesthesia resuscitation on awakening quality in patients undergoing da Vinci robotic rectal cancer surgery, aiming to improve recovery protocols.

Aim: To analyze the impact of anesthesia resuscitation interventions grounded in the principles of ERAS on the awakening quality of patients undergoing da Vinci robotic rectal cancer surgery.

Methods: A total of 84 rectal cancer patients admitted from February 2021 to December 2022 were selected and randomized into two groups: The control group (n = 42) received conventional anesthesia recovery nursing care, while the study group (n = 42) underwent anesthesia resuscitation interventions based on the ERAS framework. The quality of awakening, pain levels, vital signs, and complications were compared between the two groups.

Results: The study group showed significantly shorter times for eye opening, extubation, orientation recovery, spontaneous respiration, and anesthesia recovery room stay than the control group (P < 0.05). Visual analog scale scores at 1 hours, 2 hours, 4 hours, and 6 hours post-nursing were lower in the study group (P < 0.05). In the control group, systolic blood pressure, diastolic blood pressure, heart rate, and respiratory rate at 10 minutes post-anesthesia were higher than preoperative values (P < 0.05), while no significant differences were found in the study group. These parameters were also lower in the study group at 10 minutes (P < 0.05). The complication rate was significantly lower in the study group (4.76%) than in the control group (28.56%) (P < 0.05).

Conclusion: The implementation of ERAS-based anesthesia resuscitation interventions in patients undergoing da Vinci robotic rectal cancer surgery enhances awakening quality, reduces complication rates, and helps stabilize vital signs.