Abstract:
Objective To study the value of enhanced recovery after surgery in minimally invasive percutaneous nephrolithotomy (MPCNL).
Methods Between June 2016 and November 2017, 243 patients with renal calculi or upper ureter calculi in our hospital were retrospectively analyzed. They were assigned to ERAS group (n=116) and control group (n=127) and accepted different treatment in perioperative period. The time of extraction of tracheal intubation, anal exhaust, first feeding, remove of drainage tube and urinary catheter, and postoperative hospitalization were compared between then two groups. The incidence of fever and hypothermia were also compared.
Results There was no significant difference in age, sex, stone size and location, preoperative urinary tract infection and operative time between the two groups. All patients had undergone MPCNL successfully. Compared with the control group, the time of extraction of tracheal intubation [(10.6±5.2) min vs (28.4±9.5) min, P<0.01], drainage tube[ (4.7±1.5) d vs (7.8±1.2) d, P<0.01], urinary catheter [(5.1±1.2) d vs (8.3±1.4) d, P<0.01], and the time of postoperative hospitalization[(5.2±0.6) d vs (7.3±0.8) d, P<0.01] were shorter in the ERAS group. The first anal exhaust time and the first feeding time of ERAS group were significantly earlier than that of control group. The incidence of hypothermia and postoperative fever were significantly reduced in ERAS group.
Conclusions Application of ERAS in minimally invasive percutaneous nephrolithotomy can enhance the recovery and improve the prognosis. It is worth to be applied.
Key words:
Percutaneous nephrolithotomy,
Enhanced recovery,
Surgery
Hui Luo, Xuelian Chen, Wenbiao Li, Fei Yang, Tengcheng Li, Jiarong Cai, Yunhua Mao, Xiangfu Zhou, Hailun Zhan. Efficacy of enhanced recovery after surgery in minimally invasive percutaneous nephrolithotomy[J]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(04): 240-243.