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Optimizing surgical outcomes for elderly gallstone patients with a high body mass index using enhanced recovery after surgery protocol

引用

World Journal of Gastrointestinal Surgery 2023年第10期15卷 2191-2200页

作者： Yue-Xia Gu Xin-Yu Wang Yang Chen Jun-Xiu Shao Shen-Xian Ni Xiu-Mei Zhang Si-Yu Shao Yu Zhang Wen-Jing Hu Ying-Ying Ma Meng-Yao Liu Hua Yu Department of Nursing Shanghai Fourth People’s Hospital Affiliated to Tongji University School of MedicineShanghai 200434China Department of General Surgery Shanghai Fourth People’s Hospital School of Medicine Tongji UniversityShanghai 200434China Department of Nursing Shanghai Xuhui Central HospitalShanghai 200031China

BACKGROUND Rehabilitation of elderly patients with a high body mass index(BMI)after cholecystectomy carries risks and requires the adoption of effective perioperative management *** enhanced recovery after surgery(ERAS)protocol is a comprehensive treatment approach that facilitates early patient recovery and reduces postoperative *** To compare the effectiveness of traditional perioperative management methods with the ERAS protocol in elderly patients with gallbladder stones and a high *** This retrospective cohort study examined data from 198 elderly patients with a high BMI who underwent cholecystectomy at the Shanghai Fourth People's Hospital from August 2019 to August *** them,99 patients were managed using the traditional perioperative care approach(non-ERAS protocol),while the remaining 99 patients were managed using the ERAS *** indicator data were collected for patients preoperatively,intraoperatively,and postoperatively,and surgical outcomes were compared between the two *** The comparison results between the two groups of patients in terms of age,sex,BMI,underlying diseases,surgical type,and preoperative hospital stay showed no statistically significant ***,the ERAS group had a significantly shorter preoperative fasting time than the non-ERAS group(4.0±0.9 h vs 7.6±0.9 h).Regarding intraoperative indicators,there were no significant differences between the two groups of ***,in terms of postoperative recovery,the ERAS protocol group exhibited significant advantages over the non-ERAS group,including a shorter hospital stay,lower postoperative pain scores and postoperative hunger scores,and higher satisfaction *** readmission rate was lower in the ERAS protocol group than in the non-ERAS group(3.0%vs 8.1%),although the difference was not ***,there were significant differences between the two groups in terms of postoperative nausea and vomit

关键词： Enhanced recovery after surgery protocol Cholecystectomy Rehospitalization rate Postoperative nausea and vomiting Degree of abdominal distension daily living ability

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