Abstract:
Objective To apply enhanced recovery after surgery (ERAS) model in perioperative period of Roux-en-Y choledochojejunostomy (CDJ) and evaluate its safety and feasibility.
Methods The clinical data of 83 patients with benign diseases treated by CDJ from May 2015 to may 2019 were retrospectively collected and analyzed. They were divided into two groups according to the treatment concept they received, with 37 patients in the traditional group and 46 patients in the ERAS group. Statistical analysis was preformed with Spss 19.0 software. Postoperative indexes, VAS scores were expressed by (±s), and compared with independent t-test; Postoperative complications were compared by χ2 test, Fisher exact probability method was used for correction, P<0.05 was statistically significant.
Results The result of VAS scores, the time of anal exhaust and off-bed, hospital stays, total costs of hospitalization and patient satisfaction in ERAS group were all better than those in the traditional group (P<0.05). And the total incidence of complications in ERAS group (8.7%) was significantly lower than that in the traditional group (27.0%).
Conclusions The value of ERAS applied to CDJ patients is good for quick recovery, higher satisfaction, lower pain and hospitalization costst.
Key words:
Rehabilitation,
Anastomosis, Roux-en-Y,
Treatment outcome,
Enhanced recovery after surgery
Tao Song, Aji Tuerganaili·, Qiang Guo, Kai Zhong, Bo Ran, Tiemin Jiang, Yingmei Shao. Analysis of the therapeutic effect of enhanced recovery after surgery in Roux-en-Y choledochojejunostomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(02): 174-177.