Clinical study of enhanced recovery after surgery in laparoscopic appendectomy for acute appendici  

作　　者：Zhu-Lin Li Hua-Chong Ma Yong Yang Jian-Jun Chen Zhen-Jun Wang 

机构地区：[1]Department of General Surgery,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第3期816-822,共7页世界胃肠外科杂志（英文版）（电子版）

基　　金：The study was reviewed and approved by the Beijing Chao-Yang Hospital’s Ethics and Medical Committee(approval No.2018-Ke-340).

摘　　要：BACKGROUND Enhanced recovery after surgery(ERAS)protocol is a comprehensive manage-ment modality that promotes patient recovery,especially in the patients undergo-ing digestive tumor surgeries.However,it is less commonly used in the appen-dectomy.AIM To study the application value of ERAS in laparoscopic surgery for acute appen-dicitis.METHODS A total of 120 patients who underwent laparoscopic appendectomy due to acute appendicitis were divided into experimental group and control group by random number table method,including 63 patients in the experimental group and 57 patients in the control group.Patients in the experimental group were managed with the ERAS protocol,and those in the control group were received the tra-ditional treatment.The exhaust time,the hospitalization duration,the hospita-lization expense and the pain score between the two groups were compared.RESULTS There was no significant difference in age,gender,body mass index and Sunshine Appendicitis Grading System score between the experimental group and the con-trol group(P>0.05).Compared to the control group,the patients in the expe-rimental group had earlier exhaust time,shorter hospitalization time,less hospi-talization cost and lower degree of pain sensation.The differences were statis-tically significant(P<0.01).CONCLUSION ERAS could significantly accelerate the recovery of patients who underwent la-paroscopic appendectomy for acute appendicitis,shorten the hospitalization time and reduce hospitalization costs.It is a safe and effective approach.

关 键 词：Enhanced recovery after surgery APPENDICECTOMY LAPAROSCOPY Acute appendicitis TREATMENT 

分 类 号：R656.8[医药卫生—外科学]