Protocol for enhanced recovery after surgery with 3D laparoscopic excision for choledochal cysts can benefit the recovery process

Objective To explore the clinical value of enhanced recovery after surgery (ERAS) with laparoscopic choledochal cyst (CDC) excision in children. Methods A retrospective review was performed on the clinical data from 33 in-patients whose final diagnosis was CDC. We included 18 patients who underwent...

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Bibliographic Details
Published in:Pediatric surgery international 2020-05, Vol.36 (5), p.643-648
Main Authors: Tan, Yunpu, Shen, Yingying, Li, Le, Yu, Jiakang
Format: Article
Language:English
Subjects:
Abdomen
Age
Anastomosis, Surgical
Biliary Tract Surgical Procedures - methods
Catheters
Choledochal Cyst - diagnosis
Choledochal Cyst - surgery
Common Bile Duct - diagnostic imaging
Common Bile Duct - surgery
Cysts
Enhanced Recovery After Surgery
Female
Fistula
Fluids
Hepatitis
Hospitals
Humans
Imaging, Three-Dimensional - methods
Infant
Intubation
Laparoscopy
Laparoscopy - methods
Length of Stay
Male
Medicine
Medicine & Public Health
Original Article
Pancreatitis
Patient Readmission
Pediatric Surgery
Pediatrics
Postoperative Complications
Recovery (Medical)
Retrospective Studies
Surgery
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Summary:Objective To explore the clinical value of enhanced recovery after surgery (ERAS) with laparoscopic choledochal cyst (CDC) excision in children. Methods A retrospective review was performed on the clinical data from 33 in-patients whose final diagnosis was CDC. We included 18 patients who underwent the traditional treatment for CDC from April 2017 to October 2017 as the control group and 15 patients who underwent the enhanced recovery protocol (ERP) from November 2017 to May 2018 as the ERAS group. All the patients had received three-dimensional (3D) laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy by the same group of pediatric surgeons. The time of initial water intake, postoperative time to total enteral nutrition (TEN), postoperative hospital stay, total cost in hospital, postoperative complications, and readmission rate within 30 days were analysed. Results The postoperative time of initial water intake, postoperative time to TEN, postoperative hospital stay, and total cost in hospital were (21.5 ± 2.1) h, (4.3 ± 0.5) days, (5.3 ± 0.6) days, and (35,945.49 ± 6071.46) China Yuan (CNY) in the ERAS group and (44.1 ± 3.5) h, (7.7 ± 2) days, (9.1 ± 2.5) days, and (45,609.08 ± 11,439.80) CNY in the control group, respectively. These values in the ERAS group were significantly lower than those in the control group ( p  
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-020-04644-w