ĐÁNH GIÁ HIỆU QUẢ CỦA HỒI PHỤC TĂNG CƯỜNG TRONG PHẪU THUẬT ĐIỀU TRỊ VIÊM RUỘT THỪA CẤP Ở TRẺ EM

Abstract

Objective: To evaluate the effectiveness of implementing the enhanced recovery after surgery (ERAS) protocol in laparoscopic appendectomy (LA) for pediatric appendicitis. Methods: A retrospective study was conducted to analyze pediatric patients with acute appendicitis who underwent LA appendectomy. The study included information on age, gender, ERAS protocol implementation, and clinical outcomes. Results: A total of 77 patients were included in the study. The mean age was 10.9 ± 2.8 years. The female-to-male ratio was 1:1.96. All patients received the hospital's ERAS protocol. The mean operating time was 33.2 ± 5.1 minutes. The first oral intake of water was initiated within 6 hours postoperatively in 98.7% of cases, and full oral intake was achieved within 12 hours postoperatively in 66.2% of cases. The postoperative nausea and vomiting rate was 5.2%, the surgical site infection rate was 2.6%, residual abscess rate was 3.9%, 30-day readmission rate was 2.6%, and there was no reoperation. The mean length of hospital stay was 3.1 ± 0.8 days. Conclusion: The implementation of ERAS in LA for pediatric appendicitis is safe and effective, reducing the length of hospital stay without increasing postoperative complication rates, readmission rates, or reoperation rates.