Wang Runwu,Liu Junhong,He Dawei.Application and progress of ERAS in pediatric laparoscopic pyeloplasty[J].Journal of Clinical Pediatric Surgery,,():935-939.[doi:10.3760/cma.j.cn101785-202406069-007]
Application and progress of ERAS in pediatric laparoscopic pyeloplasty
- Keywords:
- Laparoscopic Pyeloplasty; Hydronephrosis; Surgical Procedures; Operative; Child
- Abstract:
- Currently, congenital ureteropelvic junction obstruction (UPJO) is primarily treated with laparoscopic pyeloplasty (LP) in clinical practice.However, the hospital stay is relatively long.The enhanced recovery after surgery (ERAS) protocol management results in a shorter hospital stay and, as verified by day surgery, does not increase the risk of postoperative adverse events.This article reviews the latest progress of ERAS protocols for pediatric LP both domestically and internationally.It recommends relatively important ERAS elements and major outcome indicators in preoperative, intraoperative, and postoperative stages, promoting the application of ERAS protocols in LP.
References:
[1] 中华医学会小儿外科分会泌尿外科学组.先天性肾盂输尿管交界处梗阻诊疗专家共识[J].中华小儿外科杂志, 2018, 39(11):804-810.DOI:10.3760/cma.j.issn.0253-3006.2018.11.002. Group of Urological Surgery, Branch of Pediatric Surgery, Chinese Medical Association.Expert consensus on diagnosing and treating congenital ureteropelvic junction obstruction[J].Chin J Pediatr Surg, 2018, 39(11):804-810.DOI:10.3760/cma.j.issn.0253-3006.2018.11.002.
[2] Radmayr C (Chair), Bogaert G, Burgu B, et al.Dilatation of the upper urinary tract (UPJ and UVJ obstruction)[M]//Radmayr C (Chair), Bogaert G, Burgu B, et al.EAU Guidelines on Paediatric Urology.Arnhem:EAU Guidelines Office, 2022:63-66.
[3] Peters CA, Schlussel RN, Retik AB.Pediatric laparoscopic dismembered pyeloplasty[J].J Urol, 1995, 153(6):1962-1965.
[4] Gatti JM, Amstutz SP, Bowlin PR, et al.Laparoscopic vs open pyeloplasty in children:results of a randomized, prospective, controlled trial[J].J Urol, 2017, 197(3 Pt 1):792-797.DOI:10.1016/j.juro.2016.10.056.
[5] Hopf HL, Bahler CD, Sundaram CP.Long-term outcomes of robot-assisted laparoscopic pyeloplasty for ureteropelvic junction obstruction[J].Urology, 2016, 90:106-110.DOI:10.1016/j.urology.2015.12.050.
[6] Ljungqvist O, Scott M, Fearon KC.Enhanced recovery after surgery:a review[J].JAMA Surg, 2017, 152(3):292-298.DOI:10.1001/jamasurg.2016.4952.
[7] Engelman RM, Rousou JA, Flack JE 3rd, et al.Fast-track recovery of the coronary bypass patient[J].Ann Thorac Surg, 1994, 58(6):1742-1746.DOI:10.1016/0003-4975(94)91674-8.
[8] Bardram L, Funch-Jensen P, Jensen P, et al.Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation[J].Lancet, 1995, 345(8952):763-764.DOI:10.1016/s0140-6736(95)90643-6.
[9] Ljungqvist O, Young-Fadok T, Demartines N.The history of enhanced recovery after surgery and the ERAS society[J].J Laparoendosc Adv Surg Tech A, 2017, 27(9):860-862.DOI:10.1089/lap.2017.0350.
[10] Brindle ME, McDiarmid C, Short K, et al.Consensus guidelines for perioperative care in neonatal intestinal surgery:enhanced recovery after surgery (ERAS?) society recommendations[J].World J Surg, 2020, 44(8):2482-2492.DOI:10.1007/s00268-020-05530-1.
[11] Williams C, Johnson PA, Guzzetta CE, et al.Pediatric fasting times before surgical and radiologic procedures:benchmarking institutional practices against national standards[J].J Pediatr Nurs, 2014, 29(3):258-267.DOI:10.1016/j.pedn.2013.11.011.
[12] Nygren J, Thorell A, Ljungqvist O.Preoperative oral carbohydrate therapy[J].Curr Opin Anaesthesiol, 2015, 28(3):364-369.DOI:10.1097/ACO.0000000000000192.
[13] Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration:application to healthy patients undergoing elective procedures:a report by the American Society of Anesthesiologist Task Force on Preoperative Fasting[J].Anesthesiology, 1999, 90(3):896-905.DOI:10.1097/00000542-199903000-00034.
[14] Thomas M, Morrison C, Newton R, et al.Consensus statement on clear fluids fasting for elective pediatric general anesthesia[J].Paediatr Anaesth, 2018, 28(5):411-414.DOI:10.1111/pan.13370.
[15] 中华医学会外科学分会, 中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志, 2018, 38(1):1-20.DOI:10.19538/j.cjps.issn1005-2208.2018.01.01. Chinese Medical Association Surgery Branch, Chinese Medical Association Anesthesiology Branch.Chinese consensus and clinical guidelines for enhanced recovery after surgery (2018 edition)[J].Chin J Pract Surg, 2018, 38(1):1-20.DOI:10.19538/j.cjps.issn1005-2208.2018.01.01.
[16] 杜浩文, 刘传阳, 申肖茹, 等.加速康复外科在小儿腹腔镜下肾盂成形术的应用[J].潍坊医学院学报, 2020, 42(3):180-183.DOI:10.16846/j.issn.1004-3101.2020.03.007. Du HW, Liu CY, Shen XR, et al.The application of the concept of enhanced recovery after surgery in pediatric laparoscopic pyeloplasty[J].Acta Acad Med Weifang, 2020, 42(3):180-183.DOI:10.16846/j.issn.1004-3101.2020.03.007.
[17] 吴庭楣.加速康复外科用于机器人辅助腹腔镜肾盂成形术患儿的效果.太原:山西医科大学, 2020. Wu TM.Effect of enhanced recovery after surgery on robotic assisted laparoscopic pyeloplasty.Taiyuan:Shanxi Medical University, 2020.
[18] 杨康宁, 葛文超, 李春秀, 等.麻醉维持方式对加速康复外科模式下机器人辅助小儿肾盂成形手术围术期的影响[J].发育医学电子杂志, 2022, 10(4):261-267.DOI:10.3969/j.issn.2095-5340.2022.04.003. Yang KN, Ge WC, Li CX, et al.Effects of anesthesia maintenance on the perioperative period of robot-assisted pediatric pyeloplasty with enhanced recovery after surgery mode[J].Journal of Developmental Medicine(Electronic Version), 2022, 10(4):261-267.DOI:10.3969/j.issn.2095-5340.2022.04.003.
[19] 张良慧, 高林, 周艳, 等.加速康复外科在小儿腹腔镜肾盂成行术围手术期护理中的应用[J].心血管外科杂志(电子版), 2019, 8(1):129-130. Zhang LH, Gao L, Zhou Y, et al.The application of ERAS in the perioperative care of pediatric laparoscopic pyeloplasty[J].J Cardiovasc Surg (Electron Ed), 2019, 8(1):129-130.
[20] Rove KO, Edney JC, Brockel MA.Enhanced recovery after surgery in children:promising, evidence-based multidisciplinary care[J].Paediatr Anaesth, 2018, 28(6):482-492.DOI:10.1111/pan.13380.
[21] Short HL, Taylor N, Piper K, et al.Appropriateness of a pediatric-specific enhanced recovery protocol using a modified Delphi process and multidisciplinary expert panel[J].J Pediatr Surg, 2018, 53(4):592-598.DOI:10.1016/j.jpedsurg.2017.09.008.
[22] Autore G, Bernardi L, Ghidini F, et al.Antibiotic prophylaxis for the prevention of urinary tract infections in children:guideline and recommendations from the Emilia-Romagna Pediatric Urinary Tract Infections (UTI-Ped-ER) Study Group[J].Antibiotics (Basel), 2023, 12(6):1040.DOI:10.3390/antibiotics12061040.
[23] 赵征华, 兰星.术中保温护理对麻醉恢复期影响的Meta分析[J].护理学杂志, 2014, 29(14):80-84.DOI:10.3870/hlxzz.2014.14.080. Zhao ZH, Lan X.The effect of intraoperative thermal insulation on postoperative recovery after anesthesia:a Meta-analysis[J].J Nurs Sci, 2014, 29(14):80-84.DOI:10.3870/hlxzz.2014.14.080.
[24] Feo CV, Romanini B, Sortini D, et al.Early oral feeding after colorectal resection:a randomized controlled study[J].ANZ J Surg, 2004, 74(5):298-301.DOI:10.1111/j.1445-1433.2004.02985.x.
[25] Rickard M, Chua M, Kim JK, et al.Evolving trends in peri-operative management of pediatric ureteropelvic junction obstruction:working towards quicker recovery and day surgery pyeloplasty[J].World J Urol, 2021, 39(9):3677-3684.DOI:10.1007/s00345-021-03925-w.
[26] Mitchell A, Bolduc S, Moore K, et al.Use of a magnetic double J stent in pediatric patients:a case-control study at two Canadian pediatric centers[J].J Pediatr Surg, 2020, 55(3):486-489.DOI:10.1016/j.jpedsurg.2019.03.014.
[27] Nasser FM, Shouman AM, ElSheemy MS, et al.Dismembered pyeloplasty in infants 6 months old or younger with and without external trans-anastomotic nephrostent:a prospective randomized study[J].Urology, 2017, 101:38-44.DOI:10.1016/j.urology.2016.09.024.
[28] Lee LC, Kanaroglou N, Gleason JM, et al.Impact of drainage technique on pediatric pyeloplasty:comparative analysis of externalized uretero-pyelostomy versus double-J internal stents[J].Can Urol Assoc J, 2015, 9(7/8):E453-E457.DOI:10.5489/cuaj.2697.
[29] Levy M, Connors C, Ravivarapu KT, et al.Evaluating the safety of same-day discharge following pediatric pyeloplasty and ureteral reimplantation; a NSQIP analysis 2012-2020[J].J Pediatr Urol, 2023, 19(4):434.e1-434.e9.DOI:10.1016/j.jpurol.2023.04.012.
[30] Broch A, Paye-Jaouen A, Bruneau B, et al.Day surgery in children undergoing retroperitoneal robot-assisted laparoscopic pyeloplasty:is it safe and feasible?[J].Eur Urol Open Sci, 2023, 51:55-61.DOI:10.1016/j.euros.2023.03.004.
Memo
收稿日期:2024-6-29。
基金项目:重庆市自然科学基金面上项目(CSTB2024NSCQ-MSX0270)
通讯作者:何大维,Email:hedawei@hospital.cqmu.edu.cn