| ERAS理念在腹腔镜子宫内膜癌全面分期手术围手术期应用的效果分析 |
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| 引用本文： | 王留利,侯凡,聂夏子,王蓉蓉,王海琳.ERAS理念在腹腔镜子宫内膜癌全面分期手术围手术期应用的效果分析[J].中华腔镜外科杂志（电子版）,2019,12(3):146-149. |
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| 作者姓名： | 王留利 侯凡 聂夏子 王蓉蓉 王海琳 |
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| 作者单位： | 1. 73000 兰州大学第一临床医学院
2. 730000 兰州，甘肃省人民医院妇科
3. 73000 兰州大学第一临床医学院；730000 兰州，甘肃省人民医院妇科 |
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| 基金项目： | 国家自然科学基金地区项目(81260387); 甘肃省自然基金项目(18JR3RA052) |
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| 摘 要： | 目的探讨加速康复外科(enhanced recovery after surgery，ERAS)在腹腔镜子宫内膜癌全面分期手术围手术期应用的安全性和有效性。
方法回顾性分析2017年2月至2018年10月54例在甘肃省人民医院行腹腔镜子宫内膜癌全面分期手术患者，ERAS组和对照组各27例。ERAS组采用加速康复理念行围手术期处理，对照组给予外科常规处理措施，比较2组的术中、术后恢复情况及术后并发症等方面的差异。
结果ERAS组患者的术后住院时间、首次通气时间、引流管放置时间及术后腹腔引流量均明显低于对照组，差异有统计学意义(P<0.05)；与对照组相比，ERAS组的术后并发症总发生率减少(P<0.05)。
结论ERAS技术用于腹腔镜子宫内膜癌全面分期手术围手术期优势突出，值得临床推广。
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| 关 键 词： | 加速康复外科 腹腔镜 子宫内膜癌 围手术期 全面分期手术 |
| 收稿时间： | 2019-04-09 |
Analysis the enhanced recovery after surgery in patients undergoing total laparoscopic comprehensive staging surgery of endometrial carcinoma |
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| Liuli Wang,Fan Hou,Xiazi Nie,Rongrong Wang,Hailin Wang.Analysis the enhanced recovery after surgery in patients undergoing total laparoscopic comprehensive staging surgery of endometrial carcinoma[J].Chinese Journal of Laparoscopic Surgery ( Electronic Editon),2019,12(3):146-149. |
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| Authors: | Liuli Wang Fan Hou Xiazi Nie Rongrong Wang Hailin Wang |
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| Institution: | 1. The First School of Clinical Medicinel of Lanzhou University, Lanzhou 730000, China
2. Department of Obstetrics and Gynecology, Gansu Provincial Hospital, Lanzhou 730000, China
3. The First School of Clinical Medicinel of Lanzhou University, Lanzhou 730000, China; Department of Obstetrics and Gynecology, Gansu Provincial Hospital, Lanzhou 730000, China |
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| Abstract: | ObjectiveTo evaluate the safety and efficiency of enhanced recovery after surgery in patients undergoing total laparoscopic comprehensive staging surgery of endometrial carcinoma.
MethodsA retrospective analysis was performed on cases from Feb. 2017 to Oct.2018 of Gansu Provincial Hospital, 54 cases in total, including 27 cases of ERAS group and 27 cases of control group, to compare differences of postoperative recovery and postoperative complications between two groups.
ResultsCompared with the control group, the postoperative hospital stay, postoperative anal exhaust time, drainage time and abdominal drainage volume were significantly lower in the ERAS group (P<0.05). Additionally, ERAS group was associated with a lower incidence in total postoperative complications compared with control group (P<0.05).
ConclusionsEnhanced recovery after surgery has obvious advantages in patients undergoing total laparoscopic comprehensive staging surgery of endometrial carcinoma and is worthy of clinical promotion. |
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| Keywords: | Enhanced recovery after surgery Laparoscopy Endometrial carcinoma Prieoperative period Comprehensive staging surgery |
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