ZHUANG Bo,JIN Ruyan,LI Xuemin, et al. Comparative study of ambulatory and conventional laparoscopic cholecystectomy based on enhanced recovery after surgery[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2019, 49(2): 140-142.
Abstract：Objective: To investigate the characteristics of ambulatory and conventional laparoscopic cholecystectomy based on enhanced recovery after surgery. Methods: A total of 99 patients underwent laparoscopic cholecystectomy based on ERAS from April 1, 2017 to March 30, 2018, were divided into two groups: ambulatory laparoscopic cholecystectomy group (ALC, n=43) and conventional laparoscopic cholecystectomy (CLC, n=56). The data of the patients’ operation time, readmission cases and the related expenses were analyzed. Results: In ALC group, the operation time was (38.55±11.52) min, hospitalization expense was (9 692±1 279) Yuan, the cost for medicine was (1 628±515) Yuan, and the cost for tests and treatment was (8 064±1 070) Yuan. In CLC group, the operation time was (42.03±18.82) min, hospitalization expense was (12 184±3 576) Yuan, the costs for medicine was (2 610±806) Yuan, and the tests and treatment was (9 574±3 345) Yuan. There was no significant difference in the operation time (min) and re-hospitalization (cases) (P>0.05) between the two groups, but there was significant difference in the cost for hospitalization, medicine, tests and treatment (P<0.01). Conclusion: These findings indicate that ALC does not increase postoperative complications, and could significantly reduce the relevant expenses.
[1] 高解春, 杨佳泓, 刘军, 等. 日间手术的内涵及适宜范围研究[J]. 中国医院, 2015, 19(4): 3-6.
[2] LIEDO J B, CASTRO P G, GOMEZ I, et al. Twenty-five years of ambulatory laparoscopic cholecystectomy[J]. Cir Esp, 2016, 94(8): 429-441.
[3] HAO X Y, SHEN Y F, WEI Y G, et al. Safety and effectiveness of day-surgery laparoscopic cholecystectomy is still uncertain: meta-analysis of eight randomized controlled trials based on GRADE approach[J]. Surg Endosc, 2017, 31(12): 4950-4963.
[4] 相小松, 李东虎, 李向阳, 等. 加速康复外科与日间腹腔镜胆囊切除术的质量控制[J]. 腹腔镜外科杂志, 2016, 12(21): 951-953.
[5] 王辉, 王坚. 加速康复外科理念指导下的日间腹腔镜胆囊切除术1400例分析[J]. 肝胆胰外科杂志, 2017, 29(1): 6-9.
[6] CARLOMAGNO N, TAMMARO V, SCOTTI A, et al. Is day-surgery laparoscopic cholecystectomy contraindicated in the elderly? Results from a retrospective study and literature review[J]. Int J Surg, 2016, 33 suppl 1: s103-s107.
[7] TANG H, DONG A, YAN L. Day surgery versus overnight stay laparoscopic cholecystectomy: A systematic review and meta-analysis[J]. Dig Liver Dis, 2015, 47(7): 556-561.
[8] NAUMANN D N, ZAMAN S, DASKALAKIS M, et al. Day surgery for achalasia cardia: Time for consensus?[J]. Ann R Coll Surg Engl, 2016, 98(2): 150-154.
