Journal of Surgery Concepts & Practice >

2020 , Vol. 25 >Issue 03: 252 - 255

DOI: https://doi.org/10.16139/j.1007-9610.2020.03.015

Original article

Effect of enhanced recovery after surgery on thyroid surgery

Expand
  • Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2020-03-10

  Online published: 2020-05-25

Fold

Abstract

Objective To evaluate the effects of enhanced recovery after surgery (ERAS) for thyroid surgery throughout the perioperative period. Methods A total of 120 cases with thyroid surgery in our hospital from March to June 2018 were divided into ERAS group and traditional group with 60 cases each. Pain scores after surgery, postoperative complications, length of hospital stay and costs were compared between two groups. Results The pain scores (2.2 vs. 2.8), length of hospital stay (1.0 d vs. 3.4 d) and costs (10 204.8 Yuan vs. 12 449.2 Yuan) in ERAS group were less than those in traditional group (P<0.001). There was no statistical difference in postoperative complications rate between two groups. Conclusions It could be found that ERAS helped to decrease length of hospital stay and reduce cost while improve postoperative pain control.

Key words： Enhanced recovery after surgery; Thyroid disease; Surgery

Cite this article

ZHENG Lei, ZHANG Shiyu, YAN Jiqi . Effect of enhanced recovery after surgery on thyroid surgery[J]. Journal of Surgery Concepts & Practice, 2020 , 25(03) : 252 -255 . DOI: 10.16139/j.1007-9610.2020.03.015

References

[1] Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Dicker D, et al. The global burden of cancer 2013[J]. JAMA Oncol, 2015, 1(4):505-527.
[2] 中国加速康复外科专家组. 中国加速康复外科围手术期管理专家共识(2016)[J]. 中华外科杂志, 2016, 54(6):413-418.
[3] 高明, 葛明华. 甲状腺外科ERAS中国专家共识(2018版)[J]. 中国肿瘤, 2019, 28(1):26-38.
[4] Chen S, Zou Z, Chen F, et al. A meta-analysis of fast track surgery for patients with gastric cancer undergoing gastrectomy[J]. Ann R Coll Surg Engl, 2015, 97(1):3-10.
[5] Loop T. Fast track in thoracic surgery and anaesthesia: update of concepts[J]. Curr Opin Anaesthesiol, 2016, 29(1):20-25.
[6] 佟辉, 陈鹏, 张家强, 等. 加速康复外科在肝癌肝移植中的临床应用[J]. 外科理论与实践, 2020, 25(1):45-49.
[7] Nygren J, Thorell A, Ljungqvist O. Preoperative oral carbohydrate therapy[J]. Curr Opin Anaesthesiol, 2015, 28(3):364-369.
[8] 吕卓辰, 熊晨君, 严佶祺, 等. 实施加速康复外科麻醉管理对甲状腺手术应激水平的影响[J]. 临床麻醉学杂志, 2017, 33(8):733-737.
[9] 彭婷, 罗爱林, 韩东吉. 甲状腺手术患者术后咽喉部干痛的相关影响因素分析[J]. 临床麻醉学杂志, 2017, 33 (6):576-578.
[10] Yang R, Tao W, Chen YY, et al. Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy: a meta-analysis[J]. Int J Surg, 2016, 36(Pt A):274-282.
[11] Orloff LA, Wiseman SM, Bernet VJ, et al. American Thyroid Association statement on postoperative hypoparathyroidism: diagnosis, prevention, and management in adults[J]. Thyroid, 2018, 28(7):830-841.
[12] Slim K. The benefits of enhanced recovery after surgery[J]. J Visc Surg, 2016, 153(6 S):S41-S44.
Options
Outlines

/

〈 〉