长效局部麻醉对腹腔镜结直肠癌手术临床和经济效果的影响

长效局部麻醉对腹腔镜结直肠癌手术临床和经济效果的影响
Impact of Long-acting Local Anesthesia on Clinical and Financial Outcomes in Laparoscopic Colorectal Surgery

Structured Abstract
Background
结构式摘要
背景
Our objective was to assess clinical and financial outcomes with long-acting liposomal Bupicavaine(LB) in laparoscopic colorectal surgery.
我们的目标是评估长效脂质体布比卡因（LB）在腹腔镜结肠直肠手术中的临床和财务结果。

Methods
方法
Patients that received local infiltration with LB were strictly matched to a control group, and compared for postoperative pain, opioid use, length of stay(LOS), hospital costs, and complication, readmission, and reoperation rates.
接受局部浸润的LB患者严格匹配的对照组，比较术后疼痛，阿片类药物的使用，住院时间（LOS），住院费用和并发症，住院，和再手术率。

Results
结果
70 patients were evaluated in each cohort. Operative times and conversion rates were similar. LB patients had lower PACU pain scores(p=0.001) and used less opioids through postoperative day 3(Day 0 p<0.01; Day 1 p=0.03; Day 2 p=0.02; Day 3 p<0.01). Daily pain scores were comparable. LB had shorter LOS(mean 2.96 vs. 3.93 days; p=0.003) and trended towards lower readmission, complication, and reoperation rates. Total costs/patient were $746 less with LB, a savings of $52,200 across the cohort.
在每个队列中的70例患者进行了评价。手术时间和转换率相似。LB的患者有低的PACU疼痛评分（P = 0.001）和术后3天减少阿片类药物的使用（0天，P＜0.01；1天，P = 0.03；2天，P = 0.02；3天，P＜0.01）。每日疼痛评分可比。洛杉矶LB较短（平均2.96天和3.93天；P = 0.003）和趋向于降低再次住院，并发症和再手术率。总成本/病人的746美元少与磅，在队列中的52200美元的储蓄。

Conclusions
结论
Using local wound infiltration with LB, opioid use, LOS, and costs were improved after laparoscopic colorectal surgery. The additional medication cost was overshadowed by the overall cost benefits. Incorporating LB into a multimodal pain regiment had a benefit on patient outcomes and healthcare utilization.
使用局部伤口浸润与磅，阿片类药物的使用，LOS，和成本进行了改进后腹腔镜结直肠手术。额外的药物成本被笼罩的整体成本效益。纳入到一个多式联运疼痛团有一个好处，对病人的成果和医疗利用。

Keywords
Enhanced Recovery; Pain management; Healthcare outcomes; laparoscopic colorectal surgery
关键词
强化恢复；疼痛管理；医疗成果；腹腔镜结直肠手术

英文原文：
Impact of Long-acting Local Anesthesia on Clinical and Financial Outcomes in Lap.pdf (272.14 KB, 下载次数: 0, 售价: 99 香叶)

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长效局部麻醉对腹腔镜结直肠癌手术临床和经济效果的影响