对根治性膀胱切除术患者实施术后恢复强化方案:单个中心的经验。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Brendan A Yanada, Brendan H Dias, Niall M Corcoran, Homayoun Zargar, Conrad Bishop, Sue Wallace, Diana Hayes, James G Huang
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引用次数: 0

摘要

目的:根治性膀胱切除术的术后强化恢复(ERAS)方案旨在促进术后恢复,加快恢复正常的日常活动。本研究旨在报告澳大利亚一家医疗机构实施ERAS方案的围手术期结果:我们确定了 2016 年 6 月至 2021 年 8 月期间在维多利亚州 Western Health 医院接受开放式根治性膀胱切除术的 73 名 pT1-T4 膀胱癌患者。我们对前瞻性数据库进行了回顾性分析。围手术期结果包括住院时间、鼻胃管需求和术后回肠梗阻时间:ERAS组患者的中位年龄为74岁(四分位距[IQR]66-78),ERAS前组患者的中位年龄为70岁(四分位距[IQR]65-78)。每组所有患者均接受了回肠导管成形术。ERAS 组患者的中位住院时间为 7.0 天(IQR 7.0-9.3),ERAS 前组患者的中位住院时间为 12.0 天(IQR 8.0-16.0)(P=0.003)。在ERAS组中,25.0%的患者术后出现回肠梗阻,25.0%的患者需要插入鼻胃管,而在ERAS前组中,这两个比例分别为64.9%(p=0.001)和45.9%(p=0.063)。ERAS组的肠功能恢复时间(定义为从手术到首次排便的持续时间)中位数为5.0天(IQR为4.0-7.0),而ERAS前组的恢复时间中位数为7.5天(IQR为5.0-8.5)(p=0.016):ERAS方案的实施缩短了住院时间、术后回肠梗阻和肠道功能恢复时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of the enhanced recovery after surgery protocol for radical cystectomy patients: A single centre experience.

Purpose: The enhanced recovery after surgery (ERAS) protocol for radical cystectomy aims to facilitate postoperative recovery and hasten a return to normal daily activities. This study aims to report on the perioperative outcomes of implementation of an ERAS protocol at a single Australian institution.

Materials and methods: We identified 73 patients with pT1-T4 bladder cancer who underwent open radical cystectomy at Western Health, Victoria between June 2016 and August 2021. A retrospective analysis of a prospectively maintained database was performed. Perioperative outcomes included length of hospital stay, nasogastric tube requirement and duration of postoperative ileus.

Results: The median age was 74 years (interquartile range [IQR] 66-78) for the ERAS group and 70 years (IQR 65-78) for the pre-ERAS group patients. All patients in each group underwent ileal conduit formation. The median length of hospital stay was 7.0 days (IQR 7.0-9.3) for the ERAS group and 12.0 days (IQR 8.0-16.0) for the pre-ERAS group (p=0.003). Within the ERAS group, 25.0% had a postoperative ileus, and 25.0% had a nasogastric tube inserted, compared with 64.9% (p=0.001) and 45.9% (p=0.063) respectively within pre-ERAS group. The median bowel function recovery time, defined as duration from surgery to first bowel action, was 5.0 days (IQR 4.0-7.0) in the ERAS group and 7.5 days (IQR 5.0-8.5) in the pre-ERAS group (p=0.016).

Conclusions: Implementation of an ERAS protocol is associated with a reduction in hospital length of stay, postoperative ileus and bowel function recovery time.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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