机器人扩展完全外皮 (eTEP) 手术后增强后恢复 (ERAS) 和早期出院协议的初始经验
Yao Z Liu1, Andrew Luhrs1, Elizabeth Tindal1
1Department of Surgery, Brown University, Providence, RI, USA.
Surgical endoscopy
|March 4, 2024
概括
使用ERAS协议进行机器人eTEP腹修复,并在同一天出院是安全和可行的. 这种方法显示了可接受的短期结果,并可能减少大腹的住院时间.
科学领域:
- 最少侵入性的手术
- 手术瘤学手术瘤学
- 机器人手术 机器人手术
背景情况:
- 在eTEP手术中采用机器人减少了腹修复的技术障碍.
- 有限的研究存在于机器人特定的eTEP手术结果.
- 本研究评估了机器人eTEP腹修复的ERAS/同一天放电协议.
研究的目的:
- 评估ERAS的安全性和可行性/机器人eTEP腹修复的同一天放电协议.
- 为了评估机器人eTEP腹修复后的早期患者结果.
- 为了比较大腹的传统开放手术的结果.
主要方法:
- 对机器人eTEP手术 (2019-2022) 的回顾性图表审查.
- 分析患者的人口统计学,的特征,手术内数据和30天的术后结果.
- 埃拉斯协议包括:有限的导管使用,TAP阻塞,腹部结合剂,阿片类药物节约性止痛;同日出院标准侧重于稳定性和恢复.
主要成果:
- 包括102名患者;69%在同一天出院 (平均LOS为0.47天).
- 30天的结果:3%的ER访问,2%的再接收,1%的重新操作.
- 综合并发症率为7.8%,其中1次严重并发症 (Clavien-Dindo等级3/4).
结论:
- 对于机器人 eTEP 维修,ERAS 协议和当天放电是安全的,也是可行的.
- 观察到可接受的短期患者结果.
- 机器人eTEP可以显著减少医院LOS与大腹的开放手术相比.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
84
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80