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

doi:10.3877/cma.j.issn.1674-3253.2024.03.009

Abstract

Abstract:

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.

Key words: Enhanced recovery afte surgery(ERAS), Robot, Laparoscope, Stoma positioning, Bladder cancer, Cystectomy, Ileostomy, Quality of life, Adaptation level of stoma

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

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References 24

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组别	例数	性别(例)		年龄[岁，(±s)]	病程[月，(±s)]	BMI[kg/m²，(±s)]	肿瘤最大径[cm，(±s)]	病理类型(例)		肿瘤分期(例)
组别	例数	男	女	年龄[岁，(±s)]	病程[月，(±s)]	BMI[kg/m²，(±s)]	肿瘤最大径[cm，(±s)]	尿路上皮癌	其他	T₁期	T₂期	T₃期
对照组	55	46	9	71±8	15.2±2.3	22.1±2.7	2.7±0.4	50	5	15	32	8
观察组	55	47	8	70±8	14.8±1.8	21.8±2.9	2.6±0.3	49	6	14	28	13
统计值		χ²=0.070		t=0.656	t=1.016	t=0.562	t=1.483	χ²= 0.101		χ²=1.492
P值		0.792		0.514	0.312	0.576	0.141	0.751		0.474

组别	例数	性别(例)		年龄[岁，(±s)]	病程[月，(±s)]	BMI[kg/m²，(±s)]	肿瘤最大径[cm，(±s)]	病理类型(例)		肿瘤分期(例)
组别	例数	男	女	年龄[岁，(±s)]	病程[月，(±s)]	BMI[kg/m²，(±s)]	肿瘤最大径[cm，(±s)]	尿路上皮癌	其他	T₁期	T₂期	T₃期
对照组	55	46	9	71±8	15.2±2.3	22.1±2.7	2.7±0.4	50	5	15	32	8
观察组	55	47	8	70±8	14.8±1.8	21.8±2.9	2.6±0.3	49	6	14	28	13
统计值		χ²=0.070		t=0.656	t=1.016	t=0.562	t=1.483	χ²= 0.101		χ²=1.492
P值		0.792		0.514	0.312	0.576	0.141	0.751		0.474

组别	例数	肛门初次排气时间（h）	初次排便时间（d）	初次进食时间（h）	住院时间（d）
对照组	55	82±8	7.7±2.0	153±11	22.1±2.7
观察组	55	51±6	4.7±1.4	93±11	16.0±2.4
t值		22.418	8.485	26.588	11.748
P值		<0.001	<0.001	<0.001	<0.001

组别	例数	肛门初次排气时间（h）	初次排便时间（d）	初次进食时间（h）	住院时间（d）
对照组	55	82±8	7.7±2.0	153±11	22.1±2.7
观察组	55	51±6	4.7±1.4	93±11	16.0±2.4
t值		22.418	8.485	26.588	11.748
P值		<0.001	<0.001	<0.001	<0.001

组别	例数	正性情绪	负性情绪	社会生活适应	总分
对照组	55	15.0±3.5	12.0±2.4	20.0±3.4	47.1±7.1
观察组	55	22.1±3.7	16.8±3.1	28.0±4.5	67.0±9.2
t值		10.236	9.389	10.716	12.715
P值		<0.001	<0.001	<0.001	<0.001

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