Application of enhanced recovery after surgery in the treatment of children with congenital choledochal cyst.
- Author:
Hangyan ZHAO
1
;
Duote CAI
1
;
Zhigang GAO
1
;
Qingjiang CHEN
1
;
Jihua ZHU
1
;
Jinjin HUANG
1
Author Information
1. The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Zhejiang Provincial Clinical Research Center for Minimally Invasive Diagnosis and Treatment of Abdominal Organs, Hangzhou 310052, China.
- Publication Type:Journal Article
- MeSH:
Case-Control Studies;
Child;
Choledochal Cyst;
economics;
surgery;
Enhanced Recovery After Surgery;
standards;
Humans;
Length of Stay;
Postoperative Complications;
prevention & control
- From:
Journal of Zhejiang University. Medical sciences
2019;48(5):474-480
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the feasibility of enhanced recovery after surgery (ERAS) in treatment of children with congenital choledochal cyst.
METHODS:One hundred and thirty children with congenital choledochal cysts admitted in the Children's Hospital of Zhejiang University from June 2017 to June 2019 were divided into ERAS group (=65) and control group (=65) according to admission order. The intestinal tract condition during operation, time of operation, surgical results, time for eating after operation, abdominal drainage after operation, length of hospital stay after operation, total hospital expenses and complications were compared between two groups.
RESULTS:Compared with the control group, the satisfaction of intestinal operation field, recovery of gastrointestinal function after operation,time required for the volume of peritoneal drainage fluid to be less than 50 mL,time of abdominal drainage tube removal, and length of hospital stay were all improved in ERAS group (<0.05 or <0.01).ERAS group had more peritoneal effusion after removal of abdominal drainage tube (<0.01), but the incidence of edema after operation was lower (<0.05). The satisfaction of parents in the two groups was similar, but the cooperation of parents in the ERAS group was improved (<0.05) and the total cost of hospitalization was reduced (<0.01).
CONCLUSIONS:ERAS has advantages over the traditional scheme and can be used in the clinical treatment of children with congenital choledochal cyst.
