腹腔镜阑尾切除术患者术后恢复途径的改善：一项系统综述和荟萃分析

IF 0.4 Q4 CRITICAL CARE MEDICINE

Journal of Acute Disease Pub Date : 2022-08-01 DOI:10.37766/inplasy2022.8.0005

Abhijit S. Nair, Hamed Humayid Mohammed Al Aamri

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引用次数: 0

摘要

目的：比较腹腔镜阑尾切除术后增强恢复（ERAS）路径与传统路径对成年患者的益处。方法：我们在PubMed/Medline、Embase和Cochrane图书馆中使用关键词“术后增强恢复”、“快速手术”、“腹腔镜阑尾切除术”和“腹腔镜阑尾摘除术”查找出版物。记录并分析手术时间、较短住院时间、口服时间、再次入院率、疼痛/满意度、再入院率和手术部位感染。结果：共从登记册中检索到95篇文章，从数据库中检索到161篇文章。纳入了三项符合条件的研究。ERAS途径的停留时间较短[Z=2.06，MD=1.05，95%CI=（-2.04，-0.05），P=0.04]，术后进食开始较早[Z=6.22，MD=267.49，95%CI=（-351.80，-183.19），P<0.001]。结论：与标准护理相比，接受腹腔镜阑尾切除术的成年患者的ERAS路径停留时间更短，术后进食开始更早。两种方法的手术时间、手术部位感染发生率和再入院率相似。临床注册：此审查在INPLASY202280005注册。

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Enhanced recovery after surgery pathways for patients undergoing laparoscopic appendectomy: A systematic review and meta-analysis

Objective: To compare the benefits of enhanced recovery after surgery (ERAS) pathways with traditional pathways for adult patients undergoing laparoscopic appendectomy. Methods: We looked for publications using the keywords “Enhanced Recovery After Surgery,” “Fast-track Surgery,” “Laparoscopic Appendectomy,” and “Laparoscopic Appendicectomy” in PubMed/Medline, Embase, and the Cochrane library. Operative time, lesser length of stay, oral intake timing, readmission rate, pain/satisfaction levels, readmission rate, and surgical site infections were recorded and analyzed. Results: A total of 95 articles from registers and 161 articles from databases were identified. Three eligible studies were included. The ERAS pathways had a lesser length of stay [Z=2.06, MD= -1.05, 95% CI=(-2.04, -0.05), P=0.04] and an earlier start to postoperative feeds [Z=6.22, MD= -267.49, 95% CI=(-351.80, -183.19), P<001]. Conclusions: ERAS pathways have a shorter length of stay and earlier postoperative feed initiation for adult patients undergoing laparoscopic appendectomy compared with standard care. Both approaches have similar operative time, surgical site infection incidence, and readmission rate. Clinical registration: This review is registered with INPLASY202280005.

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来源期刊

Journal of Acute Disease CRITICAL CARE MEDICINE-

自引率

20.00%

发文量

652

审稿时长

12 weeks

期刊介绍： The articles published mainly deal with pre-hospital and hospital emergency medicine, cardiopulmonary-cerebral resuscitation, critical cardiovascular disease, sepsis, severe infection, multiple organ failure, acute and critical diseases in different medical fields, sudden cardiac arrest, Intensive Care Unit (ICU), critical care medicine, disaster rescue medicine (earthquakes, fires, floods, mine disaster, air crash, et al.), acute trauma, acute toxicology, acute heart disease, and related topics. JAD sets up columns for special subjects in each issue.