LIN Wenyan , FAN Feifei , WANG Yongqing , LI Ting , SONG Xia , KANG Lan , ZHANG Li , FANG Jinrui
  • 1. Ambulatory Surgery & Chemotherapy Centre, Gansu Provincial Hospital, Lanzhou, Gansu 730000, P. R. China;
FANG Jinrui, Email: fjrkey@163.com
Enhanced recovery after surgery; clinical pathway; day surgery; anal fistula; perianal abscess
10.7507/1002-0179.202311297
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Objective  To explore the application effect of the clinical pathway for perianal day surgery based on enhanced recovery after surgery (ERAS) concept. Methods  The case data of patients who underwent perianal surgery in the Department of Anorectal Surgery of Gansu Provincial Hospital between January and October 2023 and patients who underwent perianal day surgery based on the ERAS clinical pathway in the Ambulatory Surgery & Chemotherapy Centre of Gansu Provincial Hospital were retrospectively collected. The patients in the Department of Anorectal Surgery were defined as the control group, while the patients in the Ambulatory Surgery & Chemotherapy Centre were defined as the pathway group. The differences in indicators such as hospitalization cost, average hospitalization time, preoperative hospitalization time, surgical time, intraoperative bleeding, patient satisfaction, and postoperative follow-up between the two groups of patients were analyzed. Results  A total of 400 patients were included, with 200 in each group. The differences between the two groups in gender and age were not statistically significant (P>0.05), the Visual Analogue Scale of the pathway group was lower than that of the control group (P<0.05), and the Kolcaba Comfort Scale score was higher than that of the control group (P<0.05). The hospitalization cost, average hospitalization time, preoperative hospitalization time, and surgical time of the pathway group were all lower than those of the control group (P<0.05), and there was no statistically significant difference in intraoperative bleeding between the two groups (P>0.05). The satisfaction rates of the pathway group and the control group were 90.5% and 86.0%, respectively, and there was no statistically significant difference between the two groups (P>0.05). The follow-up results showed that perianal day surgery did not increase the discomfort of patients after discharge. Conclusions  The clinical pathway for day surgery based on ERAS concept is more conducive to the postoperative recovery of patients undergoing day surgery, reducing medical costs, improving medical quality, and increasing patient satisfaction. It is worthy of clinical promotion and application.

Citation： LIN Wenyan, FAN Feifei, WANG Yongqing, LI Ting, SONG Xia, KANG Lan, ZHANG Li, FANG Jinrui. Exploration of clinical pathway for perianal day surgery based on enhanced recovery after surgery concept. West China Medical Journal, 2024, 39(2): 204-207. doi: 10.7507/1002-0179.202311297 Copy

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