[1]王润五,刘俊宏,何大维.ERAS在儿童腹腔镜肾盂成形术中的应用进展[J].临床小儿外科杂志,2024,(10):935-939.[doi:10.3760/cma.j.cn101785-202406069-007]
　Wang Runwu,Liu Junhong,He Dawei.Application and progress of ERAS in pediatric laparoscopic pyeloplasty[J].Journal of Clinical Pediatric Surgery,2024,(10):935-939.[doi:10.3760/cma.j.cn101785-202406069-007]
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ERAS在儿童腹腔镜肾盂成形术中的应用进展

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 期数: 2024年10 页码: 935-939 栏目: 专题·日间手术在小儿外科的应用 出版日期: 2024-10-01
Title:
Application and progress of ERAS in pediatric laparoscopic pyeloplasty
作者:
王润五1;  刘俊宏2;  何大维1
1. 重庆医科大学附属儿童医院泌尿外科 国家儿童健康与疾病临床医学研究中心 儿童发育疾病研究教育部重点实验 结构性出生缺陷与器官修复重建重庆市重点实验室 重庆 400015;
2. 重庆医科大学附属儿童医院日间外科 国家儿童健康与疾病临床医学研究中心 儿童发育疾病研究教育部重点实验 结构性出生缺陷与器官修复重建重庆市重点实验室 重庆 400015
Author(s):
Wang Runwu1;  Liu Junhong2;  He Dawei1
1. Department of Urology, Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders; Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing 400015, China;
2. Department of Ambulatory Surgery, Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders; Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing 400015, China
关键词:
腹腔镜肾盂成形术; 肾积水; 外科手术; 儿童
Keywords:
Laparoscopic Pyeloplasty; Hydronephrosis; Surgical Procedures;  Operative; Child
DOI:
10.3760/cma.j.cn101785-202406069-007
摘要:
目前先天性肾盂输尿管连接处梗阻(ureteropelvic junction obstruction, UPJO)的治疗方式以腹腔镜肾盂成形术(laparoscopic pyeloplasty, LP)为主, 但住院周期相对较长, 而加速康复外科(enhanced recovery after surgery, ERAS)方案管理下手术住院周期较短, 且经日间外科经验证实不会增加术后不良事件的发生风险。本文就ERAS在儿童UPJO治疗中的应用进展进行综述, 推荐术前、术中和术后相对重要的ERAS要素和主要结局指标, 推动ERAS方案在儿童LP中的应用。
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.

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备注/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

更新日期/Last Update: 2024-10-28