ERAS理念在腹腔镜子宫内膜癌全面分期手术围手术期应用的效果分析

Analysis the enhanced recovery after surgery in patients undergoing total laparoscopic comprehensive staging surgery of endometrial carcinoma

目的探讨加速康复外科(enhanced recovery after surgery,ERAS)在腹腔镜子宫内膜癌全面分期手术围手术期应用的安全性和有效性。方法回顾性分析2017年2月至2018年10月54例在甘肃省人民医院行腹腔镜子宫内膜癌全面分期手术患者,ERAS组和对照组各27例。ERAS组采用加速康复理念行围手术期处理,对照组给予外科常规处理措施,比较2组的术中、术后恢复情况及术后并发症等方面的差异。结果ERAS组患者的术后住院时间、首次通气时间、引流管放置时间及术后腹腔引流量均明显低于对照组,差异有统计学意义(P<0.05);与对照组相比,ERAS组的术后并发症总发生率减少(P<0.05)。结论ERAS技术用于腹腔镜子宫内膜癌全面分期手术围手术期优势突出,值得临床推广。

Objective To evaluate the safety and efficiency of enhanced recovery after surgery in patients undergoing total laparoscopic comprehensive staging surgery of endometrial carcinoma. Methods A retrospective analysis was performed on cases from Feb. 2017 to Oct.2018 of Gansu Provincial Hospital, 54 cases in total, including 27 cases of ERAS group and 27 cases of control group, to compare differences of postoperative recovery and postoperative complications between two groups. Results Compared with the control group, the postoperative hospital stay, postoperative anal exhaust time, drainage time and abdominal drainage volume were significantly lower in the ERAS group (P<0.05). Additionally, ERAS group was associated with a lower incidence in total postoperative complications compared with control group (P<0.05). Conclusions Enhanced recovery after surgery has obvious advantages in patients undergoing total laparoscopic comprehensive staging surgery of endometrial carcinoma and is worthy of clinical promotion.