Application of accelerated rehabilitation surgery concept in elderly patients with choledocholithiasis

Objective To explore the application effect of the concept of accelerated rehabilitation surgery in elderly patients with choledocholithiasis. Methods A total of 28 patients with choledocholithiasis were treated in Department of General Surgery, Huainan First People′s Hospital of Anhui Province in recent years. According to different interventions during perioperative period, they were divided into group ERAS (n=15) and control group (n=13). In group ERAS, systematic and orderly intervention was guided by the concept of rapid rehabilitation during perioperative period, while the control group adopted traditional perioperative management plan. Postoperative anal ventilation time, first out of bed time, postoperative hospital stay, postoperative complications, postoperative leukocyte and albumin differences between the two groups were compared. Measurement data were expressed by (±s). T test was used for comparison between groups. Comparison of counting data were analyzed using Fisher exct probability between groups. Results The anus ventilation time after operation in group ERAS was (37.5±3.7) h, the first time to get out of bed was (14.2±4.1)h, and the number of days after operation was (8.7±4.6) d, while the time of anus ventilation in the control group was (46.1±3.2) h, and the first time to get out of bed was (21.4±4.2) h, and the number of days after operation was (13.8±7.2) d, and the difference of two groups was statistically significant (P<0.05). In group ERAS, albumin was (34.3±1.7) g/L for the first time after operation, while (29.5±2.0) g/L in control group. The difference between the two groups was statistically significant (P<0.05). However, the complications and first reexamination of leukocyte in the two groups were no difference. Conclusion The application of ERAS in the operation of choledocholithiasis in elderly patients with choledocholithiasis can accelerate the anal ventilation, shorten the days of hospitalization, reduce postoperative complications, and improve the postoperative recovery. Key words: Choledocholithiasis; Aged; Enhanced recovery after surgery