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中华腔镜泌尿外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (03) : 249 -253. doi: 10.3877/cma.j.issn.1674-3253.2024.03.009

临床研究

快速康复外科在机器人辅助腹腔镜膀胱切除回肠造口术中的应用
李萍1, 陈慧1,(), 庄君龙1   
  1. 1. 210008 江苏,南京大学医学院附属鼓楼医院泌尿外科
  • 收稿日期:2023-07-26 出版日期:2024-06-01
  • 通信作者: 陈慧
  • 基金资助:
    国家自然科学基金项目(81974394); 南京鼓楼医院护理科研课题(2022-A907)

Application of enhanced recovery after surgery in robot assisted laparoscopic cystectomy and ileostomy

Ping Li1, Hui Chen1,(), Junlong Zhuang1   

  1. 1. Department of Urology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Jiangsu 210008, China
  • Received:2023-07-26 Published:2024-06-01
  • Corresponding author: Hui Chen
引用本文:

李萍, 陈慧, 庄君龙. 快速康复外科在机器人辅助腹腔镜膀胱切除回肠造口术中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(03): 249-253.

Ping Li, Hui Chen, Junlong Zhuang. Application of enhanced recovery after surgery in robot assisted laparoscopic cystectomy and ileostomy[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2024, 18(03): 249-253.

目的

探讨快速康复外科理念在机器人辅助腹腔镜下膀胱切除回肠造口术中的应用效果。

方法

选择南京大学医学院附属鼓楼医院2020年2月至2022年2月收治的行机器人辅助腹腔镜下膀胱切除回肠造口术患者110例,随机分为两组,各55例。对照组实施常规干预,观察组实施快速康复外科干预。对比两组术后6个月造口适应水平、手术前后生活质量及造口并发症发生率。

结果

观察组术后机体恢复时间优于对照组(P<0.05);观察组术后6个月造口适应水平、生活质量均较对照组高(P<0.05);观察组造口并发症发生率5.45%(3/55),较对照组低(P<0.05)。

结论

快速康复外科理念可提升机器人辅助腹腔镜下膀胱切除回肠造口术患者术后造口适应水平,提高生活质量,减少造口并发症。

Objective

Explore the application effect of enhanced recovery after surgery in robot assisted laparoscopic cystectomy and ileostomy.

Methods

110 patients who underwent robot assisted laparoscopic cystectomy and ileostomy in Drum Tower Hospital Affiliated to Nanjing University School of Medicine from February 2020 to February 2022 were randomly divided into two groups, with 55 patients in each group. The control group received routine intervention, while the observation group received enhanced recovery of surgical intervention. The adaptation level of stoma, quality of life before and after surgery, and incidence of stoma complications between the two groups were compared at 6 months after surgery.

Results

The postoperative recovery time of the observation group was better than that of the control group (P<0.05). The observation group had a higher level of stoma adaptation and quality of life 6 months after surgery compared to the control group (P<0.05); The incidence of ostomy complications in the observation group was 5.45%(3/55), which was lower than that in the control group (P<0.05).

Conclusion

Enhanced recovery after surgery can improve the postoperative adaptation level of patients undergoing robot assisted laparoscopic cystectomy and ileostomy, improve their quality of life, and reduce stoma complications.

表1 常规干预组(对照组)和快速康复外科干预组(观察组)机器人辅助腹腔镜下膀胱切除回肠造口术患者一般资料比较
表2 常规干预组(对照组)和快速康复外科干预组(观察组)机器人辅助腹腔镜下膀胱切除回肠造口术患者术后机体康复情况比较(±s
表3 常规干预组(对照组)和快速康复外科干预组(观察组)机器人辅助腹腔镜下膀胱切除回肠造口术患者两组术后6个月造口适应水平比较(分,±s
表4 常规干预组(对照组)和快速康复外科干预组(观察组)机器人辅助腹腔镜下膀胱切除回肠造口术患者手术前后生活质量比较(分,±s
表5 常规干预组(对照组)和快速康复外科干预组(观察组)机器人辅助腹腔镜下膀胱切除回肠造口术患者术后6个月造口并发症发生率比较[例(%)]
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