在肝切除手术中遵守增强恢复计划:一项回顾性队列研究
Abiya Pradhan1, Anshuman Sarkar1, Srimanta Haldar1
1Department of Onco-Anaesthesia, Tata Medical Center, Kolkata, West Bengal, India.
Journal of anaesthesiology, clinical pharmacology
|April 18, 2025
概括
在切除肝脏的患者中,手术后改善恢复 (ERAS) 遵守与更少的并发症相关. 对ERAS协议的更高遵守表明了临床和财务上的好处,尽管停留时间没有显著差异.
科学领域:
- 肝胆道手术 肝胆道手术
- 手术瘤学手术瘤学
- 患者恢复协议 患者恢复协议
背景情况:
- 切除肝脏是一种主要的手术程序,需要优化恢复策略.
- 手术后增强恢复 (ERAS) 协议旨在改善患者手术后的治疗结果和生活质量.
- 实施ERAS对于接受复杂肝切除的患者至关重要.
研究的目的:
- 评估ERAS要素的遵守与肝切除患者的结果之间的相关性.
- 评估ERAS遵守对逗留时间 (LOS) 和并发症率的影响.
- 分析印度东部一家三级癌症医院的ERAS遵守情况.
主要方法:
- 从2022年6月到2023年5月,对44名肝切除术患者进行了回顾性队列研究.
- 从电子医疗记录和患者病历中收集的数据.
- 根据符合21个ERAS要素的≥75%与<75%的符合性,患者被分为两组.
主要成果:
- 总体而言,ERAS遵守率为77.7%,但各个组成部分的遵守率有所不同.
- 更高的ERAS合规性与更低的并发症率有关.
- 严重的并发症,包括重新探索和死亡,发生在患者<75%的ERAS合规.
结论:
- 在肝切除中增加对ERAS协议的遵守,会带来显著的临床益处.
- 遵守ERAS对患者的康复和财务结果产生积极影响.
- 虽然LOS差异并不显著,但严重的并发症与ERAS遵守率较低有关.
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