Protocol for enhanced recovery after surgery with 3D laparoscopic excision for choledochal cysts can benefit the recovery process

Tan, Yunpu; Shen, Yingying; Li, Le; Yu, Jian

doi:10.1007/s00383-020-04644-w

Cited by 14 publications

(9 citation statements)

References 19 publications

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“…This study's results support the theory that resuming normal food intake quickly after undergoing emergency gastrointestinal surgery is safe. Although the early feeding group and the late feeding group saw equal total problem rates, the early feeding group had significantly reduced levy of pulmonary impediment and shorter hospital and intensive category care unit admissions [11].…”

Section: Discussionmentioning

confidence: 88%

Comparison between Early and Standard Oral Feeding After Emergency Bowel Surgery

Khan¹,

Ahmad²,

Jamil³

et al. 2022

PJMHS

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Background: Laparotomy for small intestinal diseases accounts for a sizable proportion of all emergency operations. The perioperative outcome of these procedures may be enhanced by applying an adapted enhanced recovery after surgery (ERAS) regimen supported by evidence. Aim: This research aimed to appraise the outcomes of near-the-beginning feeding to those of normal eating in patients who had undergone emergency surgery on their digestive tracts (GI) or bowels. Methodology: This study was conducted at the departments of general surgery HMC Peshawar and Nishtar Hospital, Multan. Between November 2021 and April 2022, the data was collected from 84 patients who required emergency intestinal resection and anastomosis. Patients were not eligible if they had short bowel syndrome, intestinal ischemia, protracted bowel perforation, or septic shock. The patients were divided into two groups, those who began eating earlier (group E; n=44) and those who began eating later (group L; n=40). Early feeding entailed starting enteral nutrition within 48 hours of surgery. The surgical and clinical outcomes of the early feeding group were appraised to those of the late feeding cluster. Results: Bowel perforation was the most prevalent reason for surgery, and the miniature intestine was nearly all common areas affected. There was no meaningful difference in the origins, places, or interventions between the two sets of participants. Group L, on the other hand, had a much higher incidence of pulmonary issues (13.6 per cent vs 47.5 per cent, p=0.001) and an extended mean length of stay (LOS) in the ICU (2 days vs 1 day, p=0.038) and hospital (9 days vs 12 days, p=0.012).

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Section: Discussionmentioning

confidence: 88%

Comparison between Early and Standard Oral Feeding After Emergency Bowel Surgery

Khan¹,

Ahmad²,

Jamil³

et al. 2022

PJMHS

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“…This study has showed that the incidence of patient bleeding was low and no bile leakage was observed after the operation. These positive outcomes are attributed to the preciseness of manipulator on suture, which also promotes early patient recovery under the Nursing Process Enhanced Recovery After Surgery (ERAS) concept ( 20 ). Studies have reported an average of 7.5 days of postoperative discharge for children who underwent robotic radical choledochal cystectomy ( 21 , 22 ).…”

Section: Discussionmentioning

confidence: 99%

Da vinci robotic-assisted treatment of pediatric choledochal cyst

Chen

Yang²,

Xu³

et al. 2022

Front. Pediatr.

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ObjectiveTo evaluate the advantages and disadvantages of da Vinci robot and laparoscopy in treating pediatric choledochal cysts.MethodsWe retrospectively analyzed clinical data from forty-two children diagnosed with choledochal cysts in our hospital from January 2018 to January 2021. Twenty children underwent da Vinci robotic surgery, and the others underwent traditional laparoscopy. We compared differences in general information and preoperative, intraoperative, and postoperative differences between the two surgical groups.ResultsThere was no statistically significant difference in age, gender, weight, type, maximum cyst diameter, preoperative C-reactive protein (CRP) value, postoperative complication rate, and postoperative pain score between the two surgical groups (P > 0.05). The average age of the robot-assisted group was 3.62 ± 0.71 years old (range = 1–12 years). There were nineteen cases of Todani type I, one patients of other types, and the maximum cyst diameter was 35.45 ± 9.32 mm (range = 12–56 mm). In the laparoscopic group, the average age was 3.08 ± 0.82 years old (range = 3–10 years). Twenty-one patients had Todani type I, and one had other types. The maximum cyst diameter was 31.94 ± 8.64 mm (range = 10–82 mm). The robot-assisted group had better abdominal drainage, postoperative CRP value, fasting time, and discharge time than the laparoscopic group (P < 0.05).ConclusionCompared with laparoscopy, the da Vinci system has the advantages of less tissue damage, faster recovery, and better healing in the treatment of children with congenital choledochal cysts. With technological advancements and an increased number of experienced surgeons, robotic surgery may become a new trend in surgery.

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“…Previous studies have reported laparoscopic CDC excision and Rouxen-Y hepaticoenterostomy to be associated with shorter operation times, less blood loss, and shorter hospital stays, compared to open procedure (3,16). The smaller incisions and less blood loss result in rapid recovery from surgery (17). However, the MPCH has limitations.…”

Section: Discussionmentioning

confidence: 99%

Modified single-port versus multiport laparoscopic choledochal cysts excision and Roux-en-Y hepaticojejunostomy: a retrospective comparative cohort study

Wang¹,

Guan²,

Yu³

et al. 2022

Transl Pediatr

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Background: The feasibility, benefit, and safety of multiport laparoscopic choledochal cyst (CDC) excision and Roux-en-Y hepaticoenterostomy (MPCH) have been consistently confirmed. Single-port laparoscopic CDC excision and Roux-en-Y hepaticoenterostomy (SPCH) has advantages of less traumatic and more cosmetic beneficial, it has been reported in some case series, but it is technically challenging. We propose a modified technique to reduce technical difficulty in performing SPCH. The safety and feasibility of modified SPCH were compared with those of conventional multiport laparoscopic CDC excision.Methods: A total of 43 consecutive patients who diagnosed with CDC by preoperative magnetic resonance cholangiopancreatography (MRCP) and underwent SPCH (n=24) and MPCH (n=19) for choledochal cyst (CDC) by a single surgeon between January 1, 2018, and January 1, 2021, were enrolled. The baseline clinical characteristics, efficacy and safety outcomes of short-term were compared. Results:The baseline clinical characteristics of the MPCH and SPCH groups are comparable. Average postoperative length of hospital stay was shorter in the SPCH group than in the MPCH group, but the difference was not statistically significant (7.00 vs. 7.58 days; P>0.99). The operation time (281.75 vs. 277.32 min; P=0.58) and the amount of blood loss (9.33 vs. 16.68 mL; P=0.57) were similar in both groups.A significantly greater number of drainage tubes were placed in the MPCH group compared to the SPCH group (11 vs. 5; P=0.01). One patient suffered from hepaticoenterostomy anastomosis stricture in the SPCH group. Conclusions:The short-term outcome of modified SPCH is comparable with MPCH according to our study. It is easily adaptable treatment of CDC.

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Protocol for enhanced recovery after surgery with 3D laparoscopic excision for choledochal cysts can benefit the recovery process

Cited by 14 publications

References 19 publications

Comparison between Early and Standard Oral Feeding After Emergency Bowel Surgery

Comparison between Early and Standard Oral Feeding After Emergency Bowel Surgery

Da vinci robotic-assisted treatment of pediatric choledochal cyst

Modified single-port versus multiport laparoscopic choledochal cysts excision and Roux-en-Y hepaticojejunostomy: a retrospective comparative cohort study

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