Protocol for enhanced recovery after surgery with 3D laparoscopic excision for choledochal cysts can benefit the recovery process
- 1 May 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Pediatric Surgery International
- Vol. 36 (5), 643-648
- https://doi.org/10.1007/s00383-020-04644-w
Abstract
Objective To explore the clinical value of enhanced recovery after surgery (ERAS) with laparoscopic choledochal cyst (CDC) excision in children. Methods A retrospective review was performed on the clinical data from 33 in-patients whose final diagnosis was CDC. We included 18 patients who underwent the traditional treatment for CDC from April 2017 to October 2017 as the control group and 15 patients who underwent the enhanced recovery protocol (ERP) from November 2017 to May 2018 as the ERAS group. All the patients had received three-dimensional (3D) laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy by the same group of pediatric surgeons. The time of initial water intake, postoperative time to total enteral nutrition (TEN), postoperative hospital stay, total cost in hospital, postoperative complications, and readmission rate within 30 days were analysed. Results The postoperative time of initial water intake, postoperative time to TEN, postoperative hospital stay, and total cost in hospital were (21.5 +/- 2.1) h, (4.3 +/- 0.5) days, (5.3 +/- 0.6) days, and (35,945.49 +/- 6071.46) China Yuan (CNY) in the ERAS group and (44.1 +/- 3.5) h, (7.7 +/- 2) days, (9.1 +/- 2.5) days, and (45,609.08 +/- 11,439.80) CNY in the control group, respectively. These values in the ERAS group were significantly lower than those in the control group (p < 0.05). There was no significant difference between the two groups in terms of postoperative complications. No readmission patient within 30 days was encountered in either of the two groups. Conclusion Enhanced recovery protocols can shorten postoperative hospital stay, relieve perioperative discomfort, lighten the financial burden, and result in substantial improvements.This publication has 19 references indexed in Scilit:
- Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS®) society recommendationsClinical Nutrition, 2013
- Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendationsClinical Nutrition, 2012
- Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS®) Society RecommendationsWorld Journal of Surgery, 2012
- Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS®) Society RecommendationsWorld Journal of Surgery, 2012
- Implementation of an enhanced recovery programme following pancreaticoduodenectomyHPB, 2012
- Guidelines for Perioperative Care for Pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society RecommendationsWorld Journal of Surgery, 2012
- To drain or not to drain in Roux-en-Y hepatojejunostomy for children with choledochal cysts in the laparoscopic era: a prospective randomized studyJournal of Pediatric Surgery, 2012
- Early-Onset Port Site (Drain Site) Hernia in Pediatric Laparoscopy: A Case SeriesJournal of Laparoendoscopic & Advanced Surgical Techniques, 2012
- Feasibility of Fast-Track Elements in Pediatric SurgeryEuropean Journal of Pediatric Surgery, 2011
- Consensus Review of Optimal Perioperative Care in Colorectal SurgeryArchives of Surgery, 2009