Beta
188695

Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic and open cholecystectomy

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

-

Abstract

Target: In this research, the Multimodal Pathway designed for Elective Laparoscopic Docystectomy through collaboration between the Departments of General Surgery and Anesthesiology and the patient was investigated for functional healing, duration and protection. Patients and procedures The research included 80 patients who were candidates for abdominal or laparoscopic cholecystectomy, with a gallbladder infection, and Randomly, patients were divided into four equivalent categories according to the allocated management method utilising sealed envelopes: two laparoscopic and open-scopic ERAS categories, and two normal, laparoscopic and openness categories. The patients were evaluated by a multidisciplinary team and observed throughout the peri-operative phase. The data collected contained demographic and general clinical data, compliance data, surgical data, post-operative injuries, rehabilitation, ICU and hospital stays. When we have a strong adherence rate to the ERAS protocol, the rates vary greatly across various parameters. We find that ERAS has been correlated with a substantial decrease of the average overall patient residence. This was 1.2 days for laparscopic and 2.65 days for open group compared to 1.55 days for traditional laparoscopic and 3.8 days for conventional open group. Our ERAS portion leads to less discomfort and no danger of excessive narcotic problems and further reduces tension and postoperative nausea and vomiting (PONV) as well as other complications. Conclusion: In addition to optimising patient's functional rehabilitation and his quality of life, ERAS route for elective patients with open or laparoscopic cholecystectomy is secure. AS is correlated with an important decrease in average postoperative hospitalisation and overall hospitalisation with lower complications and little chance of readmission.

DOI

10.21608/bjas.2021.188695

Keywords

Cholecystectomy, total hospital stay, enhanced recovery after surgery, perioperative

Authors

First Name

R.K.

Last Name

Kamel

MiddleName

-

Affiliation

Anesthesia, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

M.M.

Last Name

Abdelwahab

MiddleName

-

Affiliation

Anesthesia, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

E.S.

Last Name

Abdalazem

MiddleName

-

Affiliation

Anesthesia, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

A.M.

Last Name

gad

MiddleName

-

Affiliation

Anesthesia, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

Volume

6

Article Issue

3

Related Issue

24728

Issue Date

2021-05-01

Receive Date

2021-08-10

Publish Date

2021-05-01

Page Start

83

Page End

91

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_188695.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=188695

Order

15

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic and open cholecystectomy

Details

Type

Article

Created At

23 Jan 2023