Single center experience in selecting the laparoscopic Frey procedure for chronic pancreatitis

AIM: To share our experience regarding the laparoscopic Frey procedure for chronic pancreatitis(CP) and patient selection.METHODS: All consecutive patients undergoingduodenum-preserving pancreatic head resection from July 2013 to July 2014 were reviewed and those undergoing the Frey procedure for CP were included in this study. Data on age, gender, body mass index(BMI), American Society of Anesthesiologists score, imaging findings, inflammatory index(white blood cells, interleukin(IL)-6, and C-reaction protein), visual analogue score score during hospitalization and outpatient visit, history of CP, operative time, estimated blood loss, and postoperative data(postoperative mortality and morbidity, postoperative length of hospital stay) were obtained for patients undergoing laparoscopic surgery. The open surgery cases in this study were analyzed for risk factors related to extensive bleeding, which was the major reason for conversion during the laparoscopic procedure. Age, gender, etiology, imaging findings, amylase level, complications due to pancreatitis, functional insufficiency, and history of CP were assessed in these patients.RESULTS: Nine laparoscopic and 37 open Frey procedures were analyzed. Of the 46 patients, 39 were male(85%) and seven were female(16%). The etiology of CP was alcohol in 32 patients(70%) and idiopathic in 14 patients(30%). Stones were found in 38 patients(83%). An inflammatory mass was found in five patients(11%). The time from diagnosis of CP to the Frey procedure was 39 ± 19(9-85) mo. The BMI of patients in the laparoscopic group was 20.4 ± 1.7(17.8-22.4) kg/m2 and was 20.6 ± 2.9(15.4-27.7) kg/m2 in the opengroup. Allpatientsrequired analgesic medication for abdominal pain. Frequent acute pancreatitis or severe abdominal pain due to acute exacerbation occurred in 20 patients(43%). Pre-operative complications due to pancreatitis were observed in 18 patients(39%). Pancreatic functional insufficiency was observed in 14 patients(30%). Two laparoscopic patients(2/9) were converted. In seven successful laparoscopic cases, the mean operative time was 323 ± 29(290-370) min. Estimated intra-operativeblood loss was 57 ± 14(40-80) m L. One patient had a postoperative complication, and no mortality was observed. Postoperative hospital stay was 7 ± 2(5-11) d. Multiple linear regression analysis of 37 open Frey procedures showed that an inflammatory mass(P < 0.001) and acute exacerbation(P < 0.001) were risk factors for intra-operative blood loss. CONCLUSION: The laparoscopic Frey procedure for CP is feasible but only suitable in carefully selected patients.

Effects of laparoscopic cholecystectomy on lung function:A systematic review

AIM: To present and integrate findings of studies investigating the effects of laparoscopic cholecystectomy on various aspects of lung function.

LAPAROSCOPIC SURGERY IN PATIENTS WITH HYPOVOLEMIC SHOCK DUE TO ECTOPIC PREGNANCY

Objective To evaluate the feasibility and safety of operative laparoscopy for ectopic pregnancy with hypovolemic shock. Methods Two hundred and fifteen women with ectopic pregnancy underwent operative laparoscopy. These patients were divided into two groups. The study group included 21 patients with shock and intraperitoneal hemorrhage more than 1000 mL, and control group included 194 patients, hemodynamically stable, with blood loss less than 1000 mL. Clinical data of perio-perative periods in two groups were retrospectively analyzed. Results All patients were tubal pregnancies. The occurrence rate of tubal rupture was higher in study group than in control group (80.95% vs. 15.98%, P < 0.001). Intraabdominal blood loss was significantly higher in study group than in control group (1900 mL vs. 300 mL, P < 0.001), and autologous blood transfusions were given to 95.24% and 9.3% of patients in study and control group, respectively (P < 0.001). Laparoscopic salpingectomy was performed on 85.7 % and 50.5% of patients in study and control group (P < 0.001). The operative time was somewhat longer in study group than that in control group (60 minutes vs. 45 minutes), but with no significant difference. All patients had no perioperative complications. Conclusion Operative laparoscopy in patients with hopovolemic shock can be safely and effectively performed by experi-enced laparoscopists with the aid of optimal anesthesia, advanced cardiovascular monitoring, and autologous blood transfusion.

Laparoscopic repair of hiatal hernia with mesenterioaxial volvulus of the stomach

Although mesenterioaxial gastric volvulus is an uncommon entity characterized by rotation at the transverse axis of the stomach, laparoscopic repair procedures have still been controversial. We reported a case of mesenterioaxial intrathoracic gastric volvulus, which was successfully treated with laparoscopic repair of the diaphragmatic hiatal defect using a polytetrafluoroethylene mesh associated with Toupet fundoplication. A 70-year-old Japanese woman was admitted to our hospital because of sudden onset of upper abdominal pain. An upper gastrointestinal series revealed an incarcerated intrathoracic mesenterioaxial volvulus of the distal portion of the stomach and the duodenum. The complete laparoscopic approach was used to repair the volvulus. The laparoscopic procedures involved the repair of the hiatal hernia using polytetrafluoroethylene mesh and Toupet fundoplication. This case highlights the feasibility and effectiveness of the laparoscopic procedure, and laparoscopic repair of the hiatal defect using a polytetrafluoroethylene mesh associated with Toupet fundoplication may be useful for preventing postoperative recurrence of hiatal her-nia, volvulus, and gastroesophageal reflux.

Laparoscopic vs mini-incision open appendectomy

AIM: To compare laparoscopic vs mini-incision open appendectomy in light of recent data at our centre.METHODS: The data of patients who underwen appendectomy between January 2011 and June 2013 were collected. The data included patients' demographic data, procedure time, length of hospital stay, the need for pain medicine, postoperative visual analog scale o pain, and morbidities. Pregnant women and patients with previous lower abdominal surgery were excluded Patients with surgery converted from laparoscopic appendectomy(LA) to mini-incision open appendectomy(MOA) were excluded. Patients were divided into two groups: LA and MOA done by the same surgeon. The patients were randomized into MOA and LA groups a computer-generated number. The diagnosis of acute appendicitis was made by the surgeon with physica examination, laboratory values, and radiological tests(abdominal ultrasound or computed tomography). Al operations were performed with general anaesthesia The postoperative vision analog scale score was recorded at postoperative hours 1, 6, 12, and 24. Patients were discharged when they tolerated normal food and passed gas and were followed up every week for three weeks as outpatients.RESULTS: Of the 243 patients, 121(49.9%) underwen MOA, while 122(50.1%) had laparoscopic appendectomy There were no significant differences in operation time between the two groups(P = 0.844), whereas the visua analog scale of pain was significantly higher in the open appendectomy group at the 1st hour(P = 0.001), 6th hour(P = 0.001), and 12 th hour(P = 0.027). The need for analgesic medication was significantly higher in the MOA group(P = 0.001). There were no differences between the two groups in terms of morbidity rate(P = 0.599)The rate of total complications was similar between the two groups(6.5% in LA vs 7.4% in OA, P = 0.599). Al wound infections were treated non-surgically. Six ou of seven patients with pelvic abscess were successfully treated with percutaneous drainage; one patient requiredsurgical drainage after a failed percutaneous drainage. There were no differences in the period of hospital stay, operation time, and postoperative complication rate between the two groups. Laparoscopic appendectomy decreases the need for analgesic medications and the visual analog scale of pain.CONCLUSION: The laparoscopic appendectomy should be considered as a standard treatment for acute appendicitis. Mini-incision appendectomy is an alternative for a select group of patients.

Laparoscopic management of totally intra-thoracic stomach with chronic volvulus

AIM:To evaluate the outcomes of patients who underwent laparoscopic repair of intra-thoracic gastric volvulus(IGV)and to assess the preoperative work-up.METHODS:A retrospective review of a prospectively collected database of patient medical records identified14 patients who underwent a laparoscopic repair of IGV.The procedure included reduction of the stomach into the abdomen,total sac excision,reinforced hiatoplasty with mesh and construction of a partial fundoplication.All perioperative data,operative details and complications were recorded.All patients had at least 6 mo of follow-up.RESULTS:There were 4 male and 10 female patients.The mean age and the mean body mass index were 66years and 28.7 kg/m2,respectively.All patients presented with epigastric discomfort and early satiety.There was no mortality,and none of the cases were converted to an open procedure.The mean operative time was235 min,and the mean length of hospitalization was 2 d.There were no intraoperative complications.Four minor complications occurred in 3 patients including pleuraleffusion,subcutaneous emphysema,dysphagia and delayed gastric emptying.All minor complications resolved spontaneously without any intervention.During the mean follow-up of 29 mo,one patient had a radiological wrap herniation without volvulus.She remains symptom free with daily medication.CONCLUSION:The laparoscopic management of IGV is a safe but technically demanding procedure.The best outcomes can be achieved in centers with extensive experience in minimally invasive esophageal surgery.

Circumstance of endoscopic and laparoscopic treatments for gastric cancer in Japan: A review of epidemiological studies using a national administrative database

Currently, endoscopic submucosal dissection(ESD) and laparoscopic gastrectomy(LG) have become widely accepted and increasingly play important roles in the treatment of gastric cancer. Data from an administrative database associated with the diagnosis procedure combination(DPC) system have revealed some circumstances of ESD and LG in Japan. Some studiesdemonstrated that medical costs or length of stay of patients receiving ESD for gastric cancer had become significantly reduced while length of hospitalization and costs were significantly increased in older patients. With respect to LG, some recent reports have shown that this has been a cost-beneficial treatment for patients compared with open gastrectomy while simultaneous LG and cholecystectomy is a safe procedure for patients with both gastric cancer and gallbladder stones. These epidemiological studies using the administrative database in the DPC system closely reflect clinical circumstances of endoscopic and surgical treatment for gastric cancer in Japan. However, DPC database does not contain detailed clinical data such as histological types and lesion size of gastric cancer. The link between the DPC database and another detailed clinical database may be vital for future research into endoscopic and laparoscopic treatments for gastric cancer.

Effectiveness and safety of a laparoscopic training system combined with modified reconstruction techniques for total laparoscopic distal gastrectomy

BACKGROUND Total laparoscopic distal gastrectomy(TLDG)is increasing due to some advantages over open surgery,which has generated interest in gastrointestinal surgeons.However,TLDG is technically demanding especially for lymphadenectomy and gastrointestinal reconstruction.During the course of training,trainee surgeons have less chances to perform open gastrectomy compared with that of senior surgeons.AIM To evaluate an appropriate,efficient and safe laparoscopic training procedures suitable for trainee surgeons.METHODS Ninety-two consecutive patients with gastric cancer who underwent TLDG plus Billroth I reconstruction using an augmented rectangle technique and involving trainees were reviewed.The trainees were taught a laparoscopic view of surgical anatomy,standard operative procedures and practiced essential laparoscopic skills.The TLDG procedure was divided into regional lymph node dissections and gastrointestinal reconstruction for analyzing trainee skills.Early surgical outcomes were compared between trainees and trainers to clarify the feasibility and safety of TLDG performed by trainees.Learning curves were used to assess the utility of our training system.RESULTS Five trainees performed a total of 52 TLDGs(56.5%),while 40 TLDGs were conducted by two trainers(43.5%).Except for depth of invasion and pathologic stage,there were no differences in clinicopathological characteristics.Trainers performed more D2 gastrectomies than trainees.The total operation time was significantly longer in the trainee group.The time spent during the lesser curvature lymph node dissection and the Billroth I reconstruction were similar between the two groups.No difference was found in postoperative complications between the two groups.The learning curve of the trainees plateaued after five TLDG cases.CONCLUSION Preparing trainees with a laparoscopic view of surgical anatomy,standard operative procedures and practice in essential laparoscopic skills enabled trainees to perform TLDG safely and feasibly.

A case report of retrograde laparoscopic Spiegel lobectomy： an alternative surgical procedure

The first laparoscopic hepatectomy case was reported by Reich et al in 1991. Initially the laparoscope was utilized diagnostically for resection and biopsy of superficial liver lesions. Recently due to the technological advancement and instrumental improvement, the laparoscopic hepatic resection procedures have evolved significantly.

Application of retroperitoneal laparoscopy and robotic surgery in complex adrenal tumors

As a surgical method for the treatment of adrenal surgical diseases,laparoscopy has the advantages of small trauma,short operation time,less bleeding,and fast postoperative recovery.It is considered as the gold standard for the treatment of adrenal surgical diseases.Retroperitoneal laparoscopy is widely used because it does not pass through the abdominal cavity,does not interfere with internal organs,and has little effect on gastrointestinal function.However,complex adrenal tumors have the characteristics of large volume,compression of adjacent tissues,and invasion of surrounding tissues,so they are rarely treated by retroperitoneal laparoscopy.In recent years,with the development of laparoscopic technology and the progress of surgical technology,robotic surgery has been gradually applied to the surgical treatment of complex adrenal tumors.This paper reviews the clinical application of retroperitoneal laparoscopic surgery and robotic surgery in the treatment of complex adrenal tumors.

直线切割吻合器在儿童腹腔镜胆总管囊肿根治术Roux-en-Y吻合中的应用

目的探讨直线切割吻合器应用于儿童腹腔镜胆总管囊肿根治术Roux-en-Y吻合中的有效性、安全性及可行性。方法本研究为前瞻性研究,选取2020年1月至2023年1月湖南省儿童医院接受腹腔镜胆总管囊肿根治术Roux-en-Y吻合的34例患儿作为研究对象,按照随机数字表法进行分组,采用直线切割吻合器实施Roux-en-Y吻合术的患儿纳入观察组(n=17),采用传统缝合法实施Roux-en-Y吻合术的患儿纳入对照组(n=17)。记录两组患儿手术时长、术中出血量、术后肠道功能恢复时间、首次进食流质时间、拔除引流管时间、术后住院时间、总住院费用和术后并发症发生率。结果34例均顺利完成手术,无一例中转开放手术。观察组与对照组手术时长[(130.43±31.32)min比(141.51±30.39)min]、术中出血量[(55.45±20.73)mL比(58.62±22.13)mL]差异均无统计学意义(P>0.05);观察组与对照组患儿术后肠道功能恢复时间[(4.03±0.42)min比(4.91±1.13)min]、首次进食流质时间[(3.95±0.61)d比(4.88±1.09)d]、拔除引流管时间[(5.95±0.68)d比(6.65±1.28)d]、术后住院时间[(8.29±2.17)d比(10.33±2.18)d]均短于对照组,差异均有统计学意义(P<0.05);观察组与对照组患儿总住院费用[(34948.17±1019.57)元比(35151.91±1151.15)元]、并发症发生率(1/17比2/17)差异无统计学意义(P>0.05)。结论直线切割吻合器在儿童腹腔镜胆总管囊肿根治术Roux-en-Y吻合中与传统缝合吻合技术的有效性和安全性无明显差异,可促进患儿术后恢复,值得临床推广应用。

腹腔镜结肠直肠癌手术的标准化操作、质量控制与疗效评价

腹腔镜结肠直肠癌手术的安全性和有效性已得到多项大型临床研究的证实,腹腔镜已成为我国结肠直肠癌外科治疗的主要方式。基于循证医学证据与临床实践积累的经验,腹腔镜结肠直肠癌手术技术仍在持续优化和改进,其关键技术主要围绕以下3方面:(1)完整的手术切除范围;(2)合适的淋巴结清扫范围;(3)安全的消化道重建。重视腹腔镜结肠直肠癌手术的标准化操作,推动手术的规范化开展,形成科学的手术评价体系,做好手术疗效评估,并开展高质量的临床研究,是提高我国腹腔镜结肠直肠癌手术规范化水平的关键。

腹腔镜下侧腹壁悬吊术及其改良术式治疗盆腔器官脱垂的研究进展

盆腔器官脱垂是好发于中老年女性的一类疾病,手术往往是消除脱垂症状的最终选择,然而该病的治疗术式目前尚未达成统一的标准,现行术式均有其明显优缺点和适用范围。近年来伴随着女性对术后美观和保留子宫的需求增加,腹腔镜下侧腹壁悬吊术作为一种在保留子宫和切除子宫术式中均有良好治疗效果的技术得到了临床医师的青睐,其学习曲线短、风险小、出血少且并发症发生率低,该术式及其改良术式在治疗前、中腔室脱垂中展现出的高治愈率,体现了该术式的普适性和实用性,有望成为腹腔镜下骶骨固定术的替代术式。而在不同类型的网片材料中,聚丙烯合成网片展现出了更低的并发症发生率,是腹腔镜手术首选的网片修补材料。

功能性微创理念在先天性巨结肠患儿围手术期应用临床研究

目的探讨功能性微创理念在先天性巨结肠患儿围手术期应用的可行性及临床效果。方法回顾性分析2019年3月至2023年3月于华中科技大学同济医学院附属同济医院采取心形吻合术治疗的先天性巨结肠患儿临床资料。共有82例先天性巨结肠患儿纳入研究,其中功能性微创(functional minimally invasive,FMI)组45例,非功能性微创(non-functional minimally invasive,non-FMI)组37例。FMI组中,男34例、女11例,手术年龄(1.31±0.96)岁;non-FMI组中,男28例、女9例,手术年龄(1.16±0.63)岁。比较两组患儿术后首次经口喂养时间、首次排便时间、住院时间、肛管拔出时间、疼痛评分、并发症等方面的差异。两独立样本t检验用于服从正态分布连续变量的差异性检验,Mann-Whitney U检验用于非正态分布连续变量的差异性检验;分类变量采用卡方精确检验。结果与non-FMI组相比,FMI组术后拔出肛管的时间[(9.23±1.47)d比(11.50±1.91)d,P=0.001]和首次开始肠内营养的时间明显缩短[(36.92±19.01)h比(56.76±17.22)h,P=0.005],术后6个月总体并发症发生率明显降低(P=0.038),术后苏醒时及术后24 h疼痛评分均明显降低(P<0.001)。术后6个月复查两组肛门功能量化评分均升高,且两组升高差异有统计学意义(P<0.05)。而两组术后首次排便时间[(27.74±13.95)h比(28.91±12.61)h,P=0.937]、住院时间[(11.56±4.18)d比(13.19±3.67)d,P=0.473]及住院费用[(43087.23±4729.14)元比(62036.34±3129.77)元,P=0.312]比较,差异均无统计学意义(P>0.05)。结论功能性微创理念应用于先天性巨结肠的手术治疗是有效和安全的,可促进患儿术后康复,减轻术后疼痛,减少由于留置引流产生的不适,减少术后并发症的发生。

机器人辅助腹腔镜肾脏移植术专家共识

机器人辅助腹腔镜肾脏移植是器官移植领域微创手术的代表,国内外多个移植中心经验已证明其可行和安全。但在临床实践中,该术式适应证、禁忌证、手术方法、安全注意事项、并发症处理及手术疗效等关键问题亟需形成专家共识。为了进一步规范和推广该项技术,该领域专家聚焦上述问题检索了相关证据,并通过会议讨论、德尔菲问卷调查等方法达成共识,供广大临床医师参考。

改良腹腔镜膀胱外输尿管再植术治疗原发性梗阻性巨输尿管

目的探讨改良腹腔镜膀胱外输尿管再植术治疗原发性梗阻性巨输尿管的临床效果。方法回顾性分析2020年12月~2023年10月改良腹腔镜膀胱外输尿管再植术(Lich-Gregoir法)治疗原发性梗阻性巨输尿管11例资料。年龄7个月~10岁5个月,(57.6±41.9)月。术中从膀胱后壁纵向建立隧道,并将新隧道的腹侧端作为输尿管吻合口。结果11例腹腔镜操作均获成功,无术中并发症,无中转开腹。手术时间105~145 min,(125.5±13.9)min。11例随访4~25个月,平均16个月。均无排尿困难、尿路感染。术后3~6个月输尿管远端最大径和肾积水均较术前明显减轻[输尿管远端最大径从(23.0±10.0)mm缩小至(5.2±3.4)mm(P=0.000),肾集合系统最大分离值从(35.2±21.1)mm缩小至(11.6±6.9)mm(P=0.001)]。结论改良腹腔镜膀胱外输尿管再植术操作简单,可作为儿童原发性梗阻性巨输尿管治疗方案之一。

单孔腹腔镜输卵管切除术40例

目的探讨单孔腹腔镜在输卵管妊娠手术中行患侧输卵管切除术的临床应用可行性及效果优缺点。方法选取芜湖市第二人民医院妇产科2017年11月至2019年12月收治并因输卵管妊娠实施行输卵管切除手术的病人共204例。单孔组,40例病人行单孔腹腔镜下患侧输卵管切除术;多孔组,164例病人行常规多孔腹腔镜下患侧输卵管切除术。比较两组病人手术时间、术中出血量、住院天数、术后住院天数、手术费用、术后排气时间、术后镇痛药使用率、术后并发症情况及切口满意度评分。结果所有病人均顺利完成手术,未出现病人中转开腹或中转行多孔腹腔镜手术。两组病人术中出血量、住院时间、术后住院时间、住院费用及术后并发症发生率比较,均差异无统计学意义(P>0.05)。单孔组病人术后排气时间为(17.35±6.15)h,多孔组病人术后排气时间(21.45±7.50)h,两组差异有统计学意义(P<0.05);单孔组病人术后镇痛药使用率为2.50%,多孔组病人术后镇痛药使用率为14.02%,单孔组病人术后镇痛药使用率低于多孔组(P<0.05);单孔组术后腹壁切口满意度评分(4.45±0.68)分,明显高于多孔组术后腹壁切口满意度评分(3.65±0.77)分(P<0.05)。结论单孔腹腔镜手术具有创伤小、恢复快、切口美观的特点,在输卵管切除术中具有可行性,值得临床推广。

足三里、太冲、合谷穴位针刺辅助治疗对全麻妇科腹腔镜手术后康复效果、中医证候积分和并发症的影响

目的探究足三里、太冲、合谷穴位针刺辅助治疗对全麻妇科腹腔镜手术后康复效果、中医证候积分和并发症的影响。方法选取2023年1月至2024年3月行全麻妇科腹腔镜手术的90例患者,采用随机数字表法分为常规组和中医组,每组45例。常规组术后给予常规处理,中医组在常规处理基础上给予足三里、太冲、合谷穴位针刺。比较2组术后胃肠功能、术后疼痛[视觉模拟评分法(VAS)评分],比较2组治疗前和治疗14 d后中医证候积分、康复状况[加速康复外科(ERAS)康复评分、首次下床时间、住院时间]、炎性因子[C反应蛋白(CRP)、降钙素、白细胞介素-8(IL-8)]水平,统计治疗期间2组并发症(恶心呕吐、感染、腹痛、腹胀、头痛)发生情况。结果中医组术后排气、术后排便、术后进食、肠鸣音恢复时间以及下床时间和住院时间均短于常规组(P<0.05)。术后6、12、24 h,中医组疼痛VAS评分均低于常规组(P<0.05)。治疗14 d,2组CRP、降钙素、IL-8水平及各中医证候积分较治疗前降低,且中医组低于常规组(P<0.05);治疗14 d,2组ERAS康复评分较治疗前升高,且中医组高于常规组(P<0.05)。中医组并发症总发生率低于常规组(P<0.05)。结论足三里、太冲、合谷穴位针刺辅助治疗可有效改善全麻妇科腹腔镜手术后患者胃肠功能,缓解术后疼痛及炎症反应,减轻临床症状,促进术后康复,减少并发症发生。

时间管理护理程序对腹腔镜子宫肌瘤手术患者术后恢复及舒适度的影响

目的:探讨时间管理护理程序在腹腔镜子宫肌瘤手术(LM)患者中的应用效果。方法:选择2020年7月-2022年2月南阳市中心医院行LM的96例患者,采用随机数表法将其分为两组,每组各48例。对照组患者行常规护理,观察组患者在对照组基础上实施时间管理护理程序。对比两组患者术后恢复、舒适度、并发症、生活质量及护理满意度。两组患者均持续随访1个月。结果:观察组患者术后肠鸣音恢复、腹胀消失、排气、首次下床活动及住院时间均短于对照组,差异有统计学意义(t=3.514、12.472、18.433、7.585、8.245,P<0.05);观察组患者Kolcaba舒适状况量表(GCQ)中的生理、心理、精神、社会文化和环境维度评分均高于对照组,差异有统计学意义(t=4.760、7.230、4.185、3.370,P<0.05);观察组患者并发症发生率(4.17%)低于对照组(16.67%),差异有统计学意义(t=4.019,P<0.05);观察组患者护理后生活质量综合评定问卷(GQOLI-74)中的心理、躯体、社会功能及物质生活维度评分均高于对照组,差异有统计学意义(t=6.122、5.152、5.276、8.556,P<0.05);观察组患者护理满意度(95.83%)高于对照组(87.50%),差异有统计学意义(t=4.019,P<0.05)。结论:时间管理护理程序能够减少LM患者术后并发症的发生,加快恢复速度,改善生活质量,提升护理舒适度与满意度。

快速康复外科(ERAS)腹腔镜上尿路手术标准化流程的应用

目的:探讨快速康复外科(ERAS)腹腔镜上尿路手术标准化流程的应用效果。方法:选择2022年6月—2023年12月于牡丹江医科大学附属红旗医院泌尿外科进行腹腔镜上尿路手术的80例患者为研究对象,通过奇偶数编号法分为对照组和观察组,各40例,对照组采取常规护理措施,观察组实施ERAS腹腔镜上尿路手术标准化流程,评估不同干预措施下,患者术后临床指标、并发症和满意度。结果:观察组术后临床指标、并发症发生率和满意度结果均优于对照组(P<0.05)。结论:对腹腔镜上尿路手术患者采用ERAS标准化流程,可促进患者术后快速恢复,降低并发症发生率,提高患者满意度,值得推广。