摘要
目的探讨加速康复外科(enhanced recovery after surgery,ERAS)在腹腔镜完全腹膜外腹股沟疝修补术(totally extraperitoneal,TEP)中的应用价值。方法回顾2016年1月至2019年6月汕头市潮南民生医院诊断为单侧腹股沟疝并接受TEP的患者,共110例,分为传统组和ERAS组,传统组55例采用传统的治疗模式,ERAS组55例遵循ERAS模式治疗。比较两组患者的平均住院日、术后肠道功能恢复时间,术后并发症、二次入院率及住院费用。结果ERAS组的住院天数是3.3±0.8d,显著短于传统组的5.5±1.7d,P<0.05;术后排气时间为0.9±0.2d,亦显著短于传统组。两组患者术后并发症及二次返院率差异无统计学意义(P>0.05)。ERAS组的住院费用显著低于传统组。结论围术期采用标准化的ERAS措施进行TEP,不仅缩短了住院时间,促进了术后肠道功能早期恢复,减少了住院费用,而且安全性良好。
Objective To explore the value of enhanced recovery after surgery(ERAS)in laparoscopic totally extraperitoneal inguinal hernia repair(TEP).Methods From January 2016 to June 2019,110 patients who were diagnosed as unilateral inguinal hernia and underwent TEP Shantou Chaonan Minsheng hospital were analyzed.They were divided into traditional group and ERAS group.55 patients in traditional group receive traditional treatment,and 55 patients in ERAS group received ERAS treatment.The average length of stay,recovery time of postoperative intestinal function,postoperative complications,secondary admission rate and hospitalization cost were compared between the two groups.Results The average hospital stay in ERAS group was 3.3±0.8 days,which was significantly shorter than control group(5.5±1.7days,P<0.05);the return of bowel function was 0.9±0.2 days,which was also significantly shorter than that in control group.There was no significant difference in postoperative complications and readmission rate.The hospitalization cost of ERAS group was significantly lower.Conclusion The utilization of ERAS in TEP can not only shorten the length of stay,promote the early recovery of bowel function,reduce the cost of hospitalization,but also have good safety.
作者
郑坤才
朱奕群
Zheng Kuncai;Zhu Yiqun(The Second Division of the Gastrointestinal Surgery,Shantou Chaonan Minsheng Hospital,Shantou,Guangdong,515144)
出处
《临床普外科电子杂志》
2020年第2期12-15,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
加速康复外科
腹腔镜
疝修补术
Enhanced recovery after surgery
Laparoscopy
Hernia repair
