肝胆胰外科杂志2024，Vol.36Issue(12)：735-739,5.DOI:10.11952/j.issn.1007-1954.2024.12.006
加速康复外科理念下日间腹腔镜胆囊切除术患者手术当日出院的可行性
Feasibility of discharge on the day of day-surgery laparoscopic cholecystectomy based on the concept of enhanced recovery after surgery
钟熙豪 1王月栋 1刘海斌 1王继生 1金洲祥 1王兆洪 1周斌1
作者信息
- 1. 温州医科大学附属第二医院/育英儿童医院 肝胆胰外科,浙江 温州 325200
- 折叠
摘要
Abstract
Objective To explore the feasibility and safety of discharge on the day of day-surgery laparoscopic cholecystectomy(DSLC)based on the concept of enhanced recovery after surgery(ERAS).Methods A retrospective analysis was conducted on 142 patients who underwent DSLC at the Second Affiliated Hospital of Wenzhou Medical University from Mar.2023 to Mar.2024.Based on the hospitalization time(≤12 h or>12 h),patients were classified into the discharge on the day of DSLC group(n=31)and the non-discharge on the day of DSLC group(n=111).The baseline characteristics,intraoperative data,preoperative and postoperative laboratory indicators,and recovery outcomes were compared between the two groups.Results DSLC was successfully performed in both groups,with no early complication or no readmission for surgery-related reasons.Compared with the non-discharge on the day of DSLC group,the discharge on the day of DSLC group had a shorter operation time[(34.4±11.0)min vs(41.4±12.5)min,P<0.01],as well as lower postoperative levels of C-reactive protein(CRP)[(1.0±0.8)mg/L vs(9.4±12.7)mg/L],alanine aminotransferase(ALT)[(32.0±11.4)U/L vs(38.9±12.5)U/L],and total bilirubin(TBIL)[(12.5±4.8)μmol/L vs(18.0±6.9)μmol/L].Multivariate Logistic regression analysis identified that postoperative CRP(OR=7.062,95%CI 3.224-23.068,P<0.01)and TBIL(OR=1.282,95%CI 1.090-1.595,P<0.01)were independent risk factors affecting discharge on the day of DSLC.Conclusion Under the concepet of the ERAS,discharge on the day of DSLC is both feasible and safe.关键词
腹腔镜胆囊切除术/日间手术/加速康复外科/手术当日出院Key words
laparoscopic cholecystectomy/day-surgery/enhanced recovery after surgery/discharge on the day of surgery分类
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钟熙豪,王月栋,刘海斌,王继生,金洲祥,王兆洪,周斌..加速康复外科理念下日间腹腔镜胆囊切除术患者手术当日出院的可行性[J].肝胆胰外科杂志,2024,36(12):735-739,5.
