中国实用外科杂志2024，Vol.44Issue(4)：473-476,4.DOI:10.19538/j.cjps.issn1005-2208.2024.04.21
日间病房开展内镜逆行胰胆管造影的可行性和安全性分析
Safety and efficacy analysis of ambulatory endoscopic retrograde cholangio-pancreatography
摘要
Abstract
Objective To evaluate the safety and efficacy of endoscopic retrograde cholangio-pancreatography(ERCP)in the ambulatory ward.Methods We retrospectively collected clinical data of patients who underwent ERCP in the ambulatory ward of Renji Hospital,Shanghai Jiao Tong University,from June 2021 to July 2023.Baseline features,surgical outcomes,reasons for delayed discharge,and incidents of readmission were analyzed.The differences between the delayed discharge group(＞48 h)and the group with a hospital stay of less than 48 hours were compared.Results 3538(99.5％)patients successfully completed the operation,with an average operation time of 20(5～124)minutes,and an average total hospital stay of 37.91±19.91 hours.108(3％)patients had postoperative complications.3136(88.2％)patients were successfully discharged within 48 hours.Among 419(11.8％)delayed discharge patients,there were 185 preoperative biliary pancreatitis,70 postoperative pancreatitis,3 gastrointestinal bleeding,2 duodenal perforation,84 abdominal pain or vomiting,and 75 fever.Rehospitalization within one week occurred in 20 cases(0.6％).The incidence of complications,and hospitalization costs were higher in the delayed discharge group compared to those hospitalized for less than 48 hours(P＜0.05),while there was no significant difference in age,gender,disease type(except bile duct stones),and rehospitalization rate(PP＞0.05).Conclusion The inclusion criteria of Ambulatory ERCP exclude cases of moderate or severe preoperative biliary pancreatitis,without considering disease type,age,gender,and comorbidities of patients.ERCP team's cooperation ensures successful implementation of ambulatory ERCP.关键词
内镜逆行胰胆管造影/日间病房/延迟出院Key words
endoscopic retrograde cholangiopancrea-tography/ambulatory ward/delayed discharge分类
医药卫生引用本文复制引用
陈俊,秦璐翠,黄帅,王贵阳,姚俊发,王辉,李可为,吴文广,刘颖斌..日间病房开展内镜逆行胰胆管造影的可行性和安全性分析[J].中国实用外科杂志,2024,44(4):473-476,4.基金项目
国家自然科学基金项目(No.82273016) （No.82273016）
癌基因与相关基因国家重点实验室开放课题(No.KF2120) （No.KF2120）
云南省刘颖斌专家工作站项目(No.202205AF150083) （No.202205AF150083）
