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加速康复外科在腹膜外免PORT单切口机器人辅助根治性前列腺切除术围手术期的应用效果

陈晓琳 雷小燕 杨滨瑞 任尚青 田景芝

机器人外科学杂志(中英文)2024,Vol.5Issue(3):327-333,7.
机器人外科学杂志(中英文)2024,Vol.5Issue(3):327-333,7.DOI:10.12180/j.issn.2096-7721.2024.03.004

加速康复外科在腹膜外免PORT单切口机器人辅助根治性前列腺切除术围手术期的应用效果

Application of ERAS in perioperative period of extraperitoneal PORT-free robot-assisted radical prostatectomy using single-incision

陈晓琳 1雷小燕 1杨滨瑞 1任尚青 1田景芝1

作者信息

  • 1. 四川省医学科学院·四川省人民医院机器人微创中心 四川 成都 610072
  • 折叠

摘要

Abstract

Objective:To explore the effect of enhanced recovery after surgery(ERAS)in perioperative nursing care of patients underwent extraperitoneal PORT-free robot-assisted radical prostatectomy using single-incision.Methods:The clinical data of 80 patients who underwent extraperitoneal PORT-free single-incision robot-assisted laparoscopic radical prostatectomy(RARP)from January 2022 to July 2022 in the Robotic Minimally Invasive Surgery Center of Sichuan Provincial People's Hospital was retrospectively analyzed.The 80 patients were divided into two groups using the random number table method.The study group(40 cases)were cared based on the concept of ERAS,the control group(40 cases)received routine surgical nursing.Results:All the surgeries were performed under extraperitoneal PORT-free single-incision.Ages,BMI,operative time,intraoperative blood loss and satisfaction rate of immediate continence of the two groups were compared,and the differences were not statistically significant.The length of hospital stay after surgery,the indwelling time of urinary catheter,the indwelling time of pelvic drainage tube,pain scores 48 h after surgery,the exhaust time after surgery,the time of out-of-bed activity,the time of first meal and the overall rate of postoperative complications in the study group and control group were compared,and the differences were statistically significant,the study group was better than the control group.Conclusion:Using the concept of ERAS in the perioperative nursing care of patients undergoing extraperitoneal PORT-free RARP with single-incision could effectively shorten the indwelling time of different catheters and length of hospital stay,accelerate recovery of intestinal function,reduce the incidence of complications and improve the satisfaction degree of inpatients.

关键词

加速康复外科/腹膜外入路/机器人辅助手术/根治性前列腺切除术/围手术期

Key words

Enhanced Recovery After Surgery/Extraperitoneal Approach/Robot-assisted Surgery/Radical Prostatectomy/Perioperative

分类

医药卫生

引用本文复制引用

陈晓琳,雷小燕,杨滨瑞,任尚青,田景芝..加速康复外科在腹膜外免PORT单切口机器人辅助根治性前列腺切除术围手术期的应用效果[J].机器人外科学杂志(中英文),2024,5(3):327-333,7.

基金项目

四川省科技厅重点研发项目(2022YFS0135,23ZDYF2070) (2022YFS0135,23ZDYF2070)

四川省干部保健科研课题(2023-210) (2023-210)

电子科技大学·四川省人民医院"医工交叉联合基金"(ZYGX2021YGLH011) Key Research and Development Program of Sichuan Science and Technology Department(2022YFS0135,23ZDYF2070) (ZYGX2021YGLH011)

Sichuan Cadre Health Care Research Project(SCR2023-210) (SCR2023-210)

"Medical-Engineering Intersection Joint Fund"by the University of Electronic Science and Technology of China/Sichuan Provincial People's Hospital(ZYGX2021YGLH011) (ZYGX2021YGLH011)

机器人外科学杂志(中英文)

OACSTPCD

2096-7721

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