Clinical application of emergency laparoscopic cholecystectomy combined with choledocholithotomy using CMERAS concept
XU Wen-jie,ZHAO Lian-ze,BAO Ji-feng
Abstract:
Objective To explore the clinical application of Chinese Medicine Enhanced Recovery After Surgery (CMERAS) in patients undergoing emergency laparoscopic cholecystectomy combined with choledocholithotomy. Methods A total of 120 patients who underwent emergency laparoscopic cholecystectomy and common bile duct exploration (LCBDE) in our hospital from January 2022 to June 2024 were selected as the research subjects. They were divided into the CMERAS group and the Enhanced Recovery After Surgery (ERAS) group according to the rehabilitation methods, with 60 cases in each group. A retrospective analysis was conducted on the levels of inflammatory factors, clinically relevant indicators, gastrointestinal function indicators, pain scores and postoperative complications of the two groups. Results In terms of inflammatory factors, liver function indicators, stress factor levels and gastrointestinal function indicators, the CMERAS group was superior to the ERAS group at 3 days after surgery, and there were significant differences between the two groups (P <0.05). However, there were no significant differences between the two groups at 5 days after surgery (P >0.05). In terms of complications, the total complication incidence rate in the CMERAS group was lower than that in the ERAS group, with a significant difference (P <0.05). In terms of postoperative pain scores, the pain scores in the CMERAS group were lower than those in the ERAS group, with a significant difference (P <0.05). There were no significant differences between the two groups at 72 hours after surgery (P >0.05). Conclusion The application of CMERAS in emergency LCBDE can reduce the stress response generated during the perioperative period of patients, accelerate the postoperative rehabilitation of patients and shorten the length of hospital stay.
