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Updated: Jul 26, 2025
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Single Port Donor Nephrectomy
Published on: March 12, 2011
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评估一个独特的增强恢复协议在腹腔镜供体切除术:一个单一的中心经验
Samuel W Atherton1, Michael S Massey1, Tho Nguyen1
1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Clinical transplantation
|June 19, 2023
概括
手术后增强恢复 (ERAS) 协议显著减少了腹腔镜供体切除术 (LDN) 患者的阿片类药物消耗和术后恶心和吐. 这项研究强调了全面的ERAS协议对改善LDN结果的有效性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术瘤学手术瘤学
- 麻醉学 麻醉学
背景情况:
- 在腹部外科手术中建立了手术后增强恢复 (ERAS) 协议.
- 埃拉斯对腹腔镜供体切除术 (LDN) 结果的影响需要进一步调查.
研究的目的:
- 评估一个独特的LDN ERAS协议对阿片类药物消费和恢复的影响.
- 为了比较ERAS在LDN实施之前和之后的结果.
主要方法:
- 对244名LDN患者进行了回顾性队列研究.
- 对ERAS (198名患者) 与ERAS前 (46名患者) 的术后护理进行比较.
- 主要结局:平均每日口服吗啡等效 (OME) 消费;次要结局:PONV,停留时间,疼痛评分.
主要成果:
- 在ERAS捐赠者中,每日OME平均消费量显著降低 (21.5比37.6;p<.0001).
- 在ERAS组中,术后恶心和吐 (PONV) 的发生率降低 (44.4%对60.9%;p = .008).
- 在接受或不接受手术前吗啡的ERAS小组之间,OME消费没有显著差异.
结论:
- 一个全面的ERAS协议,包括利多卡因,胺和优化的外科手术管理,可以减少LDN的阿片类药物消耗.
- 在LDN患者中,ERAS协议可以改善恢复,并减少LDN患者的PONV等不良事件.
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