加速康复外科促进机器人腹腔镜胰岛素瘤摘除术术后的康复

基础医学与临床 ›› 2020, Vol. 40 ›› Issue (4): 543-546.

加速康复外科促进机器人腹腔镜胰岛素瘤摘除术术后的康复

马满姣¹, 张秀华^1*, 刘子嘉¹, 吴文铭², 赵玉沛²

1.中国医学院科学院北京协和医学院北京协和医院麻醉科, 北京 100730;
2.中国医学院科学院北京协和医学院北京协和医院基本外科, 北京 100730

收稿日期:2019-06-10 修回日期:2019-11-05 出版日期:2020-04-05 发布日期:2020-04-06
通讯作者: *zhangxh@pumch.cn

Enhanced recovery after surgery promotes postoperative recovery of patients receiving robot assisted laparoscopic insulinoma enucleation

MA Man-jiao¹, ZHANG Xiu-hua^1*, LIU Zi-jia¹, WU Wen-ming², ZHAO Yu-pei²

1. Department of Anesthesiology Surgery;
2. Department of General Surgery, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China

Received:2019-06-10 Revised:2019-11-05 Online:2020-04-05 Published:2020-04-06
Contact: *zhangxh@pumch.cn

摘要/Abstract

摘要： 目的比较加速康复外科(ERAS)对机器人腹腔镜胰岛素瘤摘除术术后恢复的影响。方法收集北京协和医院2013年1月至2016年3月行该手术患者的临床麻醉资料,比较在2015年采用ERAS策略前后两组患者(常规组和ERAS组)的术后恢复情况。结果 68例患者纳入研究,肥胖率为69.1%。ERAS组的术中输液量较常规组明显减少(P＜0.05),尿量无差异;ERAS组气道峰压最高值低于常规组 (P＜0.05);ERAS组的术后住院时间短于常规组 (P＜0.05),ERAS组术后并发症少见。结论机器人腹腔镜胰岛素瘤患者采用ERAS策略可以缩短术后住院时间,有减少术后并发症的趋势。

关键词: 机器人腹腔镜手术, 胰岛素瘤, 加速康复外科, 肥胖

Abstract: Objective To compare the postoperative recovery of patients receiving robotic laparoscopic insulinoma enucleation before and after implementing enhanced recovery after surgery (ERAS) protocol. Methods Anesthetic data of patients who received robotic laparoscopic insulinoma enucleation from January 2013 to March 2016 in Peking Union Medical College Hospital were collected and analyzed. All patients were be divided into routine group and ERAS group. Results The study enrolled 68 patients, whose obesity rate was 69.1%. The intraoperative fluid volume of ERAS group was lower than that of the routine group (P＜0.05), while the difference of urine output was not significant. The maximum peak airway pressure of ERAS group was also lower than that in the routine group(P＜0.05). The postoperative hospital stay length of ERAS group was shorter (P＜0.05). The postoperative complications were uncommon in the ERAS group. Conclusions ERAS protocol can shorten the hospital stay length of patients receiving robotic laparoscopic insulinoma enuleation and postoperative complications are likely to be reduced.

Key words: robotic surgical system, insulinoma, enhanced recovery after surgery, obesity

中图分类号:

R614.2

马满姣, 张秀华, 刘子嘉, 吴文铭, 赵玉沛. 加速康复外科促进机器人腹腔镜胰岛素瘤摘除术术后的康复[J]. 基础医学与临床, 2020, 40(4): 543-546.

MA Man-jiao, ZHANG Xiu-hua, LIU Zi-jia, WU Wen-ming, ZHAO Yu-pei. Enhanced recovery after surgery promotes postoperative recovery of patients receiving robot assisted laparoscopic insulinoma enucleation[J]. Basic & Clinical Medicine, 2020, 40(4): 543-546.

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