Volume 22 Issue 10
Oct.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(10): 1791-1794
WU Dan, XIA Yan, SHENTU Minjiao, XU Yangli, JIN Jing, SHEN Dan. Application of LEER model in perioperative period of laparoscopic pancreatoduodenectomy[J]. Chinese Journal of General Practice, 2024, 22(10): 1791-1794. doi: 10.16766/j.cnki.issn.1674-4152.003735
Citation: WU Dan, XIA Yan, SHENTU Minjiao, XU Yangli, JIN Jing, SHEN Dan. Application of LEER model in perioperative period of laparoscopic pancreatoduodenectomy[J]. Chinese Journal of General Practice, 2024, 22(10): 1791-1794. doi: 10.16766/j.cnki.issn.1674-4152.003735
shu

Application of LEER model in perioperative period of laparoscopic pancreatoduodenectomy

doi: 10.16766/j.cnki.issn.1674-4152.003735

  • Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People' s Hospital, Hangzhou, Zhejiang 310014, China

Funds:

 2022KY572

  • Received Date: 2023-07-06
    Available Online: 2024-12-28
    Abstract
  •   Objective   To explore the perioperative application of "LEER" model with less pain, early move, early eat and reassuring as the ultimate goals in patients with laparoscopic pancreaticoduodenectomy (LPD).   Methods   Using random number table, the clinical data of 86 patients treated with LPD in the Zhejiang Provincial People' s Hospital from August 2021 to August 2023 was randomly selected, including 41 cases of traditional rehabilitation surgery protocol (traditional group) and 45 cases of "LEER" mode protocol (LEER group). The perioperative relevant indexes were compared between the two groups.   Results   The first time of getting out of bed, the time of anal exhaust, the time of first eating and the total length of hospital stay in LEER group were lower than those in traditional group (P < 0.05). The VAS scores of the LEER group on the first, second and third day after operation were lower than those of the traditional group (P < 0.05). Serum immunoglobulin (Ig) A, IgG, IgM and serum prealbumin (PA), albumin (ALB) total protein (TP) in LEER group were higher than those in traditional group at 3d after surgery (P < 0.05). The complication rate of LEER group was 11.11% (5/45), which was lower than that of traditional group (31.71%, 13/41, χ2=5.499, P=0.019).   Conclusion   LEER mode can significantly reduce postoperative pain, improve nutritional status, protect immune function, reduce the risk of complications, and accelerate postoperative recovery.

     

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    • References(15)
  • [1]
    裴金宇, 王晶, 曹广华, 等. 加速康复外科理念在腹腔镜胰十二指肠切除术围手术期的应用进展[J]. 腹腔镜外科杂志, 2020, 25(7): 552-555.

    PEI J Y, WANG J, CAO G H, et al. Progress in the application of rehabilitation surgery concept in perioperative period of laparoscopic pancreaticoduodenectomy[J]. J laparosc Surg, 2020, 25(7): 552-555.
    [2]
    TAKAGI K, YOSHIDA R, YAGI T, et al. Effect of an enhanced re-covery after surgery protocol in patients undergoing pancreaticoduodenectomy: a randomized controlled trial[J]. Clin Nutr, 2019, 38(1): 174-181. doi: 10.1016/j.clnu.2018.01.002
    [3]
    谢青云, 雷泽华, 高峰畏, 等. "LEER"模式加速康复外科理念在腹腔镜解剖性肝切除术中的应用[J]. 中国普外基础与临床杂志, 2021, 28(3): 322-328.

    XIE Q Y, LEI Z H, GAO F W, et al. Application of "LEER" model to accelerate rehabilitation surgery concept in laparoscopic anatomic hepatectomy[J]. Chin J Bas Clin Gen Surg, 2021, 28(3): 322-328.
    [4]
    雷泽华, 谢青云, 赵欣, 等. "LEER"模式加速康复外科理念在胰十二指肠切除术中的应用[J]. 肝胆胰外科杂志, 2020, 32(3): 138-142.

    LEI Z H, XIE Y Q, ZHAO X, et al. Application of "LEER" model in accelerated rehabilitation surgery in pancreaticoduodenectomy[J]. J Hepatopancreatobiliary Surg, 2020, 32(3): 138-142.
    [5]
    杨静, 赵敏, 吴崔熠. 心理护理在肺炎患者护理中的应用效果及患者心理情绪分析[J]. 心理月刊, 2022, 17(18): 189-191.

    YANG J, ZHAO M, WU C X. Application effect of psychological nursing in nursing of patients with pneumonia and psychological and emotional scores of patients[J]. Psychol Mag, 2022, 17(18): 189-191.
    [6]
    万丽, 赵晴, 陈军, 等. 疼痛评估量表应用的中国专家共识(2020版)[J]. 中华疼痛学杂志, 2020, 16(3): 177-187.

    WAN L, ZHAO Q, CHEN J, et al. Chinese Expert Consensus on the Application of Pain Assessment Scale (2020 edition)[J]. Chinese Journal of Painology, 2020, 16(3): 177-187.
    [7]
    韦筱燕, 张家强, 沙莎. 老年人营养风险指数对胰十二指肠切除术患者术后并发症的预测价值[J]. 中华全科医学, 2021, 19(2): 176-178, 231. doi: 10.16766/j.cnki.issn.1674-4152.001760

    WEI X Y, ZHANG J Q, SA A. The predictive value of nutritional risk index for elderly patients with pancreaticoduodenectomy disease for postoperative complications[J]. Chinese Journal of General Practice, 2021, 19(2): 176-178, 231. doi: 10.16766/j.cnki.issn.1674-4152.001760
    [8]
    李建玲, 路艳, 胡楠楠, 等. ERAS理念在老年肝脏切除手术患者右美托咪定麻醉中的应用效果及对血流动力学的影响[J]. 中国老年学杂志, 2021, 41(3): 532-535.

    LI J L, LU Y, HU N N, et al. Effects of ERAS concept on dexmedetomidine anesthesia and hemodynamics in elderly patients undergoing liver resection[J]. Chinese Journal of Gerontology, 2021, 41(3): 532-535.
    [9]
    张成, 安东均, 成鹏, 等. 腹腔镜胰十二指肠切除术患者ERAS理念指导下的围手术期处理[J]. 肝胆外科杂志, 2022, 30(4): 291-296.

    ZHANG C, AN D J, CHENG P, et al. Perioperative management of patients undergoing laparoscopic pancreaticoduodenectomy under the guidance of ERAS concept[J]. J Hepatopancreatobiliary Surg, 2022, 30(4): 291-296.
    [10]
    ZHANG X Y, ZHANG X Z, U F Y, et al. Factors associated with failure of enhanced recovery after surgery program in patients undergoing pancreaticoduodenectomy[J]. Hepatobiliary Pancreat Dis Int, 2020, 19(1): 51-57. doi: 10.1016/j.hbpd.2019.09.006
    [11]
    高春辉, 陶连元, 潘玉进, 等. 加速康复外科在腹腔镜胰十二指肠切除术中的应用[J]. 肝胆胰外科杂志, 2019, 31(12): 714-718.

    GAO C H, TAO L Y, PAN Y J, et al. Application of accelerated rehabilitation surgery in laparoscopic pancreaticoduodenectomy[J]. J Hepatopancreatobiliary Surg, 2019, 31(12): 714-718.
    [12]
    水颖, 方玉美, 陈瑜. 多学科协作干预对甲状腺癌患者术后应激反应、情绪及满意度的影响[J]. 广东医学, 2020, 41(9): 942-946.

    SHUI Y, FANG Y M, CHEN Y. Effects of multidisciplinary collaborative intervention on stress response, emotion and satisfaction in patients with thyroid cancer after surgery[J]. Guangdong Med J, 2020, 41(9): 942-946.
    [13]
    刘鹏飞, 张旭刚, 张静, 等. 术前口服碳水化合物对老年肺癌患者术后加速康复的影响[J]. 肿瘤代谢与营养电子杂志, 2021, 8(3): 279-284.

    LIU P F, ZHANG X G, ZHANG J, et al. Effect of preoperative oral carbohydrate on postoperative recovery in elderly patients with lung cancer[J]. Electro J Metabol Nutr Cancer, 2021, 8(3): 279-284.
    [14]
    龚洁, 雷泽华, 高峰畏, 等. LEER模式在腹腔镜胰十二指肠切除术中的应用研究[J]. 中国普外基础与临床杂志, 2023, 30(3): 296-301.

    GONG J, LEI Z H, GAO W F, et al. Application of LEER model in laparoscopic pancreaticoduodenectomy[J]. Chin J Bas Clin Gen Surg, 2023, 30(3): 296-301.
    [15]
    罗海鸣, 金善良, 全宗宗. 多模式镇痛方案对妇科腹腔镜手术患者的镇痛效果及血流动力学变化、炎性因子的影响[J]. 医学临床研究, 2020, 37(7): 968-970, 975.

    LUO H M, JIN S L, QUAN Z Z. Effects of multi-mode analgesia program on analgesic effect, hemodynamic changes and inflammatory factors in gynecological laparoscopic surgery patients[J]. J Clin Res, 2020, 37(7): 968-970, 975.
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