KẾT QUẢ ỨNG DỤNG CHƯƠNG TRÌNH TĂNG CƯỜNG PHỤC HỒI SAU PHẪU THUẬT TRÊN NGƯỜI BỆNH PHẪU THUẬT SỎI MẬT TẠI BỆNH VIỆN ĐA KHOA HẢI DƯƠNG

Abstract

Objective: To evaluate the treatment outcomes of 66 patients undergoing gallstone surgery with the application of the Enhanced Recovery After Surgery (ERAS) program at Hai Duong General Hospital (December 2024 – March 2025). Subjects and methods: A cross-sectional study on all patients treated with gallstone surgery at Hai Duong General Hospital from December 2024 to March 2025. Results: The mean age was 58,33 ± 15,39 years. Female-to-male ratio 2/1. Liver enzymes (AST, ALT) and bilirubin showed wide variations, reflecting hepatobiliary damage in some patients. Ultrasound detected gallbladder stones in 80,3% of cases, common bile duct stones in 13,64%, and intrahepatic stones in 7,58%. The mean operative time was 113,3 ± 42,54 minutes, shorter in the <72-hour group. Minimally invasive surgery was performed in 84,85% of patients. The postoperative complication rate was low, with surgical site infection occurring in 1,52%. The mean hospital stay was 8,65 ± 5,96 days. The mean time to first flatus was 1,8 ± 0,5 days. The mean time to resumption of oral intake was 1,32 ± 0,56 days, and the mean time to mobilization out of bed was 30,11 ± 26,26 hours. Several ERAS components achieved full compliance, including hypothermia prevention, multimodal analgesia, fluid restriction, and early mobilization. Some elements showed lower adherence rates, such as preoperative carbohydrate intake and early oral nutrition. Conclusion: The findings indicate that the implementation of the ERAS program contributed to shorter operative times and faster postoperative recovery, reduced complications, and high compliance in most key components.