Effect of Enhanced Recovery After Surgery on Postoperative Recovery and Quality of Life in Patients Undergoing Laparoscopic Partial Nephrectomy.

Chenkui Miao,Han Yuan,Zengjun Wang,Min Gu,Aimei Yu

doi:10.3389/fonc.2020.513874

Abstract

Patients who underwent laparoscopic partial nephrectomy from the First Affiliated Hospital of Nanjing Medical University from May 2016 to May 2019 were randomly divided into enhanced recovery after surgery (ERAS) and control groups. The clinical indicators, preoperative and postoperative anxiety, depression, and postoperative quality of life were compared between the two groups. The recovery time, hospitalization cost, incidence of complications, and postoperative anxiety of patients in the ERAS group were lower than those of the control group. The satisfaction during hospitalization, scores of physical function, role function, emotional function, and general health status of the ERAS group were also significantly increased. Applying the ERAS to patients undergoing laparoscopic partial nephrectomy can improve their prognosis, experience of medical treatment, and life quality after surgery as well as have certain economic advantages.

Highlights

With the advancement of medical treatment level and the transformation of people’s health concept, modern medicine has changed from a disease-centered biomedical model to a humancentered bio-psychological–social medical model [1]
We controlled the research quality based on the following standards: [1] trained physicians are responsible for the selection of research subjects and performing inclusion and exclusion according to criteria; [2] Enhanced recovery after surgery (ERAS) has a set of standardized implementation paths, which should be strictly followed by the medical staff; [3] conduct uniform training for investigators before the investigation; and [4] enter the survey data through two tracks, verify data using EpiData, and utilize SPSS to perform statistical analysis
The t test analysis of the two groups of data showed that the recovery time of bowel sounds, the time of first defecation, the time of removal of the catheter, and the time of removal of the drainage tube in the ERAS group were less than those in the control group (P < 0.001)

Summary

INTRODUCTION

With the advancement of medical treatment level and the transformation of people’s health concept, modern medicine has changed from a disease-centered biomedical model to a humancentered bio-psychological–social medical model [1]. Enhanced recovery after surgery (ERAS) is a multidisciplinary treatment that meets the requirements of modern medicine, takes a series of interventions to help patients shorten their recovery time, reduce complications, and effectively improve their prognosis. ERAS has been widely used in urology, including laparoscopic radical nephrectomy [2], radical cystectomy [3], adrenalectomy [4], partial nephrectomy [5], prostatic hyperplasia surgery [6], and robot-assisted laparoscopic radical prostatectomy [7], etc., achieving good clinical results. This study takes the application of ERAS in laparoscopic partial nephrectomy as an example, investigating hospitalization days, hospitalization expenses, preoperative and postoperative anxiety and depression, patient satisfaction, and postoperative quality of life, and combines clinical efficacy data to analyze and comprehensively evaluates ERAS, providing a reference for policy-making of the health administrative department

MATERIALS AND METHODS

RESULTS

DISCUSSION

ETHICS STATEMENT