Role of Early Mobilization on the Clinical Course of Patients who Underwent Pancreaticoduodenectomy: A Retrospective Cohort Study

Fukushima, Takuya; Adachi, Tomohiko; Hanada, Masatoshi; Tanaka, Takayuki; Oikawa, Masayuki; Nagura, Hiroki; Eguchi, Susumu; Kozu, Ryo

doi:10.1620/tjem.254.287

Cited by 4 publications

(1 citation statement)

References 34 publications

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“…5,16,22 Therefore, early mobilization of becomes a key component for clinical medication after post-abdominal surgery. 23 The multi-intervention of the mobilization pre-operation, pre-nutritional care, and post-operation could improve the recovery from post-abdominal surgery. Thus, the length of stay will be shorter.…”

Section: Discussionmentioning

confidence: 99%

The Benefits of Early Mobilization on Post-Abdominal Surgery: A Review of Literature

Juita,

Yona,

Maria

2023

JIIKI

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Background: post-abdominal surgery and postponed physical recovery are significant problems. Thus, early mobilization is important to treat the post-surgical procedure, facilitate recovery, and prevent further complications. Objectives: this literature review was to find the benefits of early mobilization on post-abdominal surgery. Methods: the researchers took the data from PubMed, EBSCOhost, ProQuest, Science Direct, and Scopus, published from 2017-2022 with the predetermined keywords. The searching method applied the Prefered Reporting Items for Systematic Review and Meta-Analysis, PRISMA guideline. The researchers conducted the research in November 2022. Articles selected with criteria for publication in International Journals within the last five years, in English, using experimental research designs, randomized controlled trials (RCTs), quasi-experiments, and cohort studies. Results: the researchers found 57.990 articles from various data sources. They were Pubmed (n = 43), EBSCOHost (n = 1.223), Science Direct (n = 325.800), ProQuest (n=30.279), and Scopus (n=645). After promoting the first screening step, the researchers eliminated some obtained journal articles. The only articles published within five recent years with full-text conditions were 162 articles. Then, the researchers screened the articles based on the second and third criteria: having open access and writing in English. The results were 10 articles. Then, the researchers checked the duplications and screened the titles and the abstract, resulting in six articles. The results showed that the analyses of six articles stated that early mobilization, from the post of day 0 or 24 hours after the abdominal surgery could improve the respiratory function with SpO2 and SaO2 increase. The mobilization could also reduce the length of stay and make the cost more efficient. Conclusion: The mobilization provided many advantages to reducing post-abdominal surgery complications, morbidity, and mortality.

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Section: Discussionmentioning

confidence: 99%

The Benefits of Early Mobilization on Post-Abdominal Surgery: A Review of Literature

Juita,

Yona,

Maria

2023

JIIKI

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Clinical efficacy of enhanced recovery surgery in Da Vinci robot-assisted pancreatoduodenectomy

Liu,

Chen,

et al. 2024

Sci Rep

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Da Vinci robot-assisted pancreaticoduodenectomy offers advantages, including minimal invasiveness, precise, and safe procedures. This study aimed to investigate the clinical effectiveness of implementing enhanced recovery after surgery (ERAS) concepts in Da Vinci robot-assisted pancreaticoduodenectomy. A retrospective analysis was conducted on clinical data from 62 patients who underwent Da Vinci robot-assisted pancreaticoduodenectomy between January 2018 and December 2022. Among these patients, 30 were managed with ERAS principles, while 32 were managed using traditional perioperative management protocols. Surgical time, intraoperative blood loss, postoperative oral intake time, time to return of bowel function, time to ambulation, visual analog scale (VAS) pain scores, fluid replacement volume, length of hospital stay, total hospital expenses, complications, and patient satisfaction were recorded and compared between the two groups. Postoperative follow-up included assessment of postoperative functional scores, reoperation rates, SF-36 quality of life scores, and survival rates. The average follow-up time was 35.6 months (range: 12–56 months). There were no statistically significant differences in general characteristics, including age, surgical time, intraoperative blood loss, and preoperative medical history between the two groups (P > 0.05). Compared to the control group, the intervention group had an earlier postoperative oral intake time, faster return of bowel function, rapid ambulation, and shorter hospital stays (P < 0.05). The intervention group also had lower postoperative VAS scores, lower fluid replacement volume, lower total hospital expenses, and a lower rate of complications (P < 0.05). Patient satisfaction was higher in the intervention group (P < 0.05). There were no statistically significant differences between the two groups in two-year functional scores, reoperation rates, quality of life scores, and survival rates (P > 0.05). Implementing ERAS principles in Da Vinci robot-assisted pancreaticoduodenectomy substantially expedited postoperative recovery, lowered pain scores, and diminished complications. However, there were no notable differences in long-term outcomes between the two groups. Supplementary Information The online version contains supplementary material available at 10.1038/s41598-024-72835-9.

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The effect of longer epidural duration after open pancreaticoduodenectomy on pain and mobilisation: A retrospective single-centre analysis

Tankel,

Shay,

Wimpfheimer

et al. 2024

Journal of Perioperative Practice

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Background: The optimal length of epidural use following open pancreaticoduodenectomy has not been defined. The aim of this study was to investigate whether the length of patient-controlled epidural analgesia affected pain and ability to mobilise on epidural termination following open pancreaticoduodenectomy in the context of enhanced recovery after surgery. Methods: A retrospective single-centre cohort analysis was performed between November 2015 and December 2021 on patients who underwent open pancreaticoduodenectomy. As part of a continual review process of the enhanced recovery after surgery protocol, patient-controlled epidural analgesia duration changed allowing stratification of patients into either three- or five-day patient-controlled epidural analgesia groups. Results: Of the 196 patients identified, 157 were included with 80 (50.9%) and 77 (49.1%) allocated to the three-day and five-day patient-controlled epidural analgesia groups, respectively. Patient-controlled epidural analgesia termination on postoperative day 3 was associated with transiently higher pain and less mobilisation, although no greater rescue analgesia requirement. Conversely, longer patient-controlled epidural analgesia usage following open pancreaticoduodenectomy was associated with less pain and greater mobilisation in the immediate postoperative period. Conclusions: Earlier patient-controlled epidural analgesia termination transiently leads to increased pain and decreased mobilisation following open pancreaticoduodenectomy. Ensuring appropriate analgesia requirements or longer patient-controlled epidural analgesia usage should be considered to avoid patient discomfort and enhance recovery.

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Role of Early Mobilization on the Clinical Course of Patients who Underwent Pancreaticoduodenectomy: A Retrospective Cohort Study

Cited by 4 publications

References 34 publications

The Benefits of Early Mobilization on Post-Abdominal Surgery: A Review of Literature

The Benefits of Early Mobilization on Post-Abdominal Surgery: A Review of Literature

Clinical efficacy of enhanced recovery surgery in Da Vinci robot-assisted pancreatoduodenectomy

The effect of longer epidural duration after open pancreaticoduodenectomy on pain and mobilisation: A retrospective single-centre analysis

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