Enhancing recovery surgery (ERAS) protocols after laparoscopic biliary reoperation for extrahepatic bile duct stones Surgery
Conditions
Interventions
The patients were randomly divided into the ERAS group and the control group by block randomization with 30 cases in each group. The random numbers were generated by computer and allocated in a 1:1 ra
Sponsors
Second Affiliated Hospital of Soochow University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. MRCP confirmed presence of extrahepatic bile duct stones with multiple stones and large diameters 2. There was a history of biliary tract surgery in the past, including cholecystectomy or biliary tract exploration 3. After confirmation by the gastroenterology doctor, ERCP could not remove the stones at one time 4. The extrahepatic bile duct is dilated with a diameter larger than 8 mm
Exclusion criteria
Exclusion criteria: 1. The diameter of extrahepatic bile duct is less than 8 mm 2. The number of extrahepatic bile duct stones is small, and their diameters are also small, and ERCP is expected to be able to remove all of them at one time 3. Severe cardiopulmonary dysfunction 4. History of choledochojejunostomy surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity measured using the Faces Pain Scale – Revised at 6, 12, 18, 24, 48, and 72 hours postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time to first anal ventilation (hours) recorded postoperatively 2. Postoperative hospital stay (days) recorded from surgery to discharge 3. Hospitalization costs in RMB collected from medical records at discharge 4. Serum C-reactive protein (CRP) measured via blood test on postoperative days 1, 3, and 5 5. Serum prealbumin (PAB) measured via blood test on postoperative days 1, 3, and 5 6. Incidence of complications (nausea, vomiting, bile leakage, infection, etc.) recorded during hospital stay | — |
Countries
China
Contacts
Public ContactChangjie Lin
Outcome results
None listed