【作者】 庄波； 金如燕； 厉学民； 俞世安；

【Author】 ZHUANG Bo;JIN Ruyan;LI Xuemin;YU shian;Department of hepatopancreatobiliary,Jinhua hospital,Zhejiang University School of Medicine;

【机构】 浙江大学金华医院肝胆胰外科；

【摘要】 目的 :探讨基于快速康复外科的腹腔镜胆囊切除和日间手术的特点。方法 :将快速康复外科指导下的于2017年4月1日至2018年3月30日行腹腔镜胆囊切除术患者分为两组,用SPSS19.0软件对患者的性别,BMI,年龄,手术时间,住院天数、住院费用进行分析,计量资料比较采用t检验,计数资料之间比较采用χ2检验。结果:收集病例99例,其中日间手术组43例,年龄48.65±7.38岁,BMI为24.81±2.73,手术时间38.55±11.52min,住院费用9692.41±1279.26元,药费1628.33±515.00元,检查治疗费8064.08±1070.17元;常规组56例,住院时间5.52±2.24d,年龄49.04±10.65岁,BMI 23.61±3.79,手术时间42.03±18.82min,住院费用12184.03±3576.01元,药费2610.34±806.56元,检查治疗费9573.68±3344.79。两组间性别(例),胆囊息肉数量(例),内科合并症(例),年龄(岁),BMI,手术时间(分钟)和再入院(例)无统计学差异,而住院费用,药费和检查治疗费有显著性差异。结论 :腹腔镜胆囊切除日间手术并未增加术后并发症发生,且能显著降低住院费用及药费,减少护理工作量,值得推广。更多还原

【Abstract】 Objective:The objective of this article is to investigate the characteristics of ambulatory and conventional laparoscopic cholecystectomy based on enhanced recovery after surgery.Methods :The patients undergoing laparoscopic cholecystectomy based on ERAS from April 1,2017 to March 30,2018 were divided into two groups:ambulatory laparoscopic cholecystectomy group(ALC) and conventional laparoscopic cholecystectomy(CLC).The data of the patients’ sex,BMI,age,operation time,hospitalization days and expenses was analyze by the SPSS 19.0 software.The measurement data was compared with t test and the counting data was compared with theχ2test.Results :There were 99 cases in two group.There were 43 cases in ALC group:Age 48.65±7.38 y;BMI 24.81±2.73;the operation time 38.55±11.52min;the hospitalization expenses 9692.41±1279.26 yuan;the costs of medicines 1628.33 + 515 yuan;and the test and treatment cost 8064.08 + 1070.17 yuan.There were 56 cases in CLC group:length of stay 5.52±2.24 d;age 49.04±10.65y;BMI 23.61±3.79;the operation time 42.03±18.82min;the hospitalization expenses 12184.03±3576.01 yuan;the costs of medicines 2610.34±806.56 yuan;the costs of test and treatment 9573.68±3344.79 yuan.There was no significant difference between the two groups of the sex(cases),the number of gallbladder polyps(cases),medical complication(cases),age(years),BMI,operation time(min)and rehospitalization(cases)(P>0.05),but there were significant difference in the cost of hospitalization,medicines and test and treatment(P<0.01).Conclusion:these findings indicated that ALC did not increase postoperative complications,and could reduce costs significantly.It is worth promoting.更多还原