Efficacy of enhanced recovery after surgery in laparoscopic treatment for children with Meckel's diverticulum
10.3760/cma.j.cn114798-20240314-00148
- VernacularTitle:加速康复外科在腹腔镜手术治疗儿童美克尔憩室中的应用效果研究
- Author:
Xin FENG
1
;
Xianwei ZHANG
;
Fei ZHANG
;
Yuan WEI
;
Zhongyuan SUN
;
Dongliang HOU
;
Jushan SUN
;
Quande FENG
;
Yixi WANG
;
Xingzhao CHEN
Author Information
1. 郑州大学附属儿童医院 河南省儿童医院 郑州儿童医院儿童肿瘤外科，郑州 450018
- Keywords:
Meckel diverticulum;
Enhanced recovery after surgery;
Laparoscopes;
Child
- From:
Chinese Journal of General Practitioners
2024;23(10):1079-1083
- CountryChina
- Language:Chinese
-
Abstract:
Clinical data of 166 children with Meckel's diverticulum, who were treated with laparoscopic surgery in our center from January 2015 to January 2023, were retrospectively analyzed, including 69 cases receiving enhanced recovery after surgery (ERAS group) and 97 cases with traditional perioperative care (control group). There were no significant differences in age ( t=1.391), gender ( χ2=1.067), body weight ( t=1.182 ), operation time ( t=1.093), diverticulum location ( Z=0.405), surgical procedures ( χ2=0.053), and intraoperative blood loss ( t=0.394) between two groups (all P>0.05). Compared to control group, ERAS group had shorter time for indwelling gastric tube (1.1±0.7 d vs.3.8±0.8 d), earlier postoperative feeding (2.5±0.6 d vs.4.9±0.7 d), less intravenous fluid infusion (3.9±1.0 d vs. 5.3±1.1 d), shorter length of hospital stay (8.2±1.6 d vs.10.9±2.3 d), and lower hospitalization expenditure (1.8±0.2)×10 4 yuan vs. (2.1±0.3)×10 4 yuan ( t=23.289,21.718,8.505,8.379,8.769,all P<0.05). There was no significant difference in incidence of postoperative complications between two groups ( χ2=0.431, P>0.05). The study indicates that patients treated with ERAS programmed laparoscopic Meckel's diverticulum surgery is safe and effective with rapid recovery and shorter hospital stay.
