Rapid Rehabilitation Surgery Program In Perioperative Management Of Radical Cystectomy And Ileal Conduit Diversion

Hualei Chen, Xiaoan Zhuo, Xianping Che,Jun Gu

Research Square (Research Square)(2020)

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摘要
Background: To evaluate the clinical effect of rapid rehabilitation surgery in the perioperative period of radical resection of bladder cancer by using the comparison with traditional perioperative treatment scheme. Methods:In this study, 80 patients who underwent bladder cancer with bladder cancer from August 2010 to October 2017 were collected, and the rapid rehabilitation Surgical treatment program and traditional treatment plan were adopted respectively during perioperative period, and the hospitalization cost, first exhaust time and after operation were compared between the two groups of patients. Clinical indexes such as hospitalization time and the incidence of postoperative complications to evaluate the application of both in the perioperative period of the radical ileum bladder surgery for bladder cancer. Results:Both groups of patients were cured and discharged. Compared with the traditional control group, the first exhaust time of the patients in the rapid recovery group was significantly earlier (3.10±0.45 D vs 3.88±0.91d P<0.05), the hospitalization cost (4.80±0.56 million vs 5.62±0.76 million P<0.05), and the length of hospital stay (8.8 6±1.23 d vs 14.47±3.58d P<0.05). However, there was no significant difference in the number of complications between the two groups (6 vs P>0.05). Conclusions:It is safe and effective to have rapid rehabilitation surgery for the perioperative period of radical resection of bladder cancer, and the rapid rehabilitation Surgical treatment program has the advantage of shortening the length of hospital stay and reducing the cost of hospitalization compared with the traditional treatment plan, which is beneficial to the recovery of patients after operation.
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关键词
radical cystectomy,rapid rehabilitation surgery program,perioperative management
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