Enhanced recovery after surgery in the application of day surgery laparoscopic cholecystectomy / 中华普通外科杂志

ABSTRACT

Objective To investigate the feasibility and safety of the concept of enhanced recovery after surgery (ERAS) in the perioperative application of ambulatory laparoscopic cholecystectomy (ALC).Methods A retrospective analysis was made on 168 patients (ALC group) undergoing ALC in the daytime ward from Aug 2017 to Aug 2018 in our hospital vs conventional laparoscopic cholecystectomy CLC in the general ward in 165 patients (CLC group).Clinical data,operation time,intraoperative blood loss,conversion to laparotomy,postoperative complication,readmission,pain score after 6h,patient satisfaction,first postoperative anal exhaust,average length of hospital stay,and hospitalization expenses were compared between the two groups.Results In the ALC group,the pain score,the first anal exhaust time,the average length of hospital stay,and the hospitalization cost were significandy lower than those in the CLC group.Compared with the CLC group,the satisfaction of patients in the ALC group was significantly improved.There was no significant difference in the incidence of postoperative complications (biliary leakage,postoperative bleeding,bile duct injury,infection of the incision) and readmission rate.Conclusion Use of enhanced recovery after surgery in laparoscopic cholecystectomy in day surgery is safe and feasible.It has many advantages such as reducing hospitalization costs and postoperative pain and accelerating postoperative recovery.