[Application of the concept of accelerated rehabilitation surgery in the perioperative period of robot-assisted laparoscopic radical prostatectomy]

Zhonghua Nan Ke Xue. 2023 Aug;29(8):736-740.
[Article in Chinese]

Abstract

Objective: To explore the effect of the concept of accelerated rehabilitation surgery in the perioperative period of robot-assisted laparoscopic radical resection of prostate cancer.

Methods: A total of 100 patients with prostate cancer in our hospital from January 2022 to January 2023 were divided into control group and enhanced recovery after surgery (ERAS) group by random number table Methods Robot-assisted laparoscopic radical prostatectomy was performed in both groups. ERAS group was treated with accelerated surgical nursing mode, while the control group was treated with traditional perioperative nursing. Operation-related indicators, anxiety, depression, pain, postoperative complications and nursing satisfaction of the two groups were compared.

Results: 100 patients were successfully operated. Compared with the control group, the operative time and intraoperative blood loss in ERAS group had no statistical significance (P>0.05),the postoperative hospitalization time was shortened and the intestinal ventilation time was advanced, with statistical significance (P< 0.05). Anxiety, depression and pain scores in ERAS group were lower than those in control group, with statistical significance (P< 0.05), while postoperative complications and nursing satisfaction in ERAS group were better than those in control group, with statistical significance (P< 0.05).

Conclusion: ERAS concept combined with robot-assisted laparoscopic radical prostatectomy has the advantages of less trauma and strong stability, which can significantly shorten the length of hospital stay, reduce postoperative complications, accelerate patient recovery and improve nursing satisfaction.

Keywords: accelerated rehabilitation surgery; robotic surgery; prostate cancer; perioperative nursing.

Publication types

  • English Abstract

MeSH terms

  • Humans
  • Laparoscopy*
  • Male
  • Pain
  • Perioperative Period
  • Postoperative Complications
  • Prostatectomy
  • Prostatic Neoplasms* / surgery
  • Robotics*