Laparoscopic repair with ERAS pathway for perforated duodenal ulcer : Retrospective study of main advantages Yoshihito SHINOHARA 1 , Yo KURASHIMA 2 , Satoshi HIRANO 2 , Kentaro KATO 1 , Yoshihiro KINOSHITA 1 , Minoru TAKADA 1 , Yoshiyasu ANPO 1 , Fumitaka NAKAMURA 1 1Department of Digestive Surgery, Teinekeijinkai Medical Center 2Department of Gastroenterological Surgery, Hokkaido University Graduate School of Medicine Keyword: 十二指腸潰瘍穿孔 , 腹腔鏡下手術 , ERAS pp.349-354
Published Date 2020/9/15
DOI https://doi.org/10.11477/mf.4426200829
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 [Objectives] The objective of this study was to evaluate the feasibility and efficacy of enhanced recovery after surgery (ERAS) pathway in patients undergoing laparoscopic repair (LR) of perforated duodenal ulcer (PDU). [Methods] A single-center, retrospective case-series study. From 2005 to 2017, 98 patients with PDU underwent LR. Patients who underwent open surgical repair (OR) were excluded. The primary outcomes were the length of hospital stay (LOH), morbidity and mortality within 30 days after surgery. The secondary outcomes included various functional recovery parameters as individual components of the ERAS pathway. The ERAS pathway achievement rates and the variance factors were collected retrospectively. [Results] 82 patients who underwent LR (n=88) were adapted to ERAS pathway. The median post-operative day of solid diet start was 2 and the median of LOH was 4.5 in the adapted ERAS group. There was no mortality and readmission. The overall compliance of ERAS pathway was 62%. [Conclusions] ERAS pathway with LR for PDU can be expected to contribute to shorter hospitalization and uniform quality of medical treatment.

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