ERAS在儿童腹腔镜肾盂成形术中的应用进展  

Application and progress of ERAS in pediatric laparoscopic pyeloplasty

作　　者：王润五 刘俊宏[2] 何大维[1] Wang Runwu;Liu Junhong;He Dawei(Department of Urology,Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Structural Birth Defect and Reconstruction,Chongqing 400015,China;Department of Ambulatory Surgery,Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Structural Birth Defect and Reconstruction,Chongqing 400015,China)

机构地区：[1]重庆医科大学附属儿童医院泌尿外科、国家儿童健康与疾病临床医学研究中心、儿童发育疾病研究教育部重点实验、结构性出生缺陷与器官修复重建重庆市重点实验室,重庆400015 [2]重庆医科大学附属儿童医院日间外科、国家儿童健康与疾病临床医学研究中心、儿童发育疾病研究教育部重点实验、结构性出生缺陷与器官修复重建重庆市重点实验室,重庆400015

出　　处：《临床小儿外科杂志》2024年第10期935-939,共5页Journal of Clinical Pediatric Surgery

基　　金：重庆市自然科学基金面上项目(CSTB2024NSCQ—MSX0270)。

摘　　要：目前先天性肾盂输尿管连接处梗阻(ureteropelvic junction obstruction,UPJO)的治疗方式以腹腔镜肾盂成形术(laparoscopic pyeloplasty,LP)为主,但住院周期相对较长,而加速康复外科(enhanced recovery after surgery,ERAS)方案管理下手术住院周期较短,且经日间外科经验证实不会增加术后不良事件的发生风险。本文就ERAS在儿童UPJO治疗中的应用进展进行综述,推荐术前、术中和术后相对重要的ERAS要素和主要结局指标,推动ERAS方案在儿童LP中的应用。Currently,congenital ureteropelvic junction obstruction(UPJO)is primarily treated with lap-aroscopic pyeloplasty(LP)in clinical practice.However,the hospital stay is relatively long.The enhanced re-covery after surgery(ERAS)protocol management results in a shorter hospital stay and,as verified by day sur-gery,does not increase the risk of postoperative adverse events.This article reviews the latest progress of ERAS protocols for pediatric LP both domestically and internationally.It recommends relatively important ERAS ele-ments and major outcome indicators in preoperative,intraoperative,and postoperative stages,promoting the ap-plication of ERAS protocols in LP.

关 键 词：腹腔镜肾盂成形术 肾积水 外科手术 儿童 

分 类 号：R69[医药卫生—泌尿科学]