Can the Full-Percutaneous Endoscopic Lumbar Discectomy in Day Surgery Mode Achieve Better Outcomes Following Enhanced Recovery after Surgery Protocol? A Retrospective Comparative Study

作者：Le Kou, Wentao Wan, Chao Chen, Dong Zhao, Xun Sun, Ziwei Gao, Hongjin Wu, Mingyuan Di, Xinlong Ma, Baoshan Xu, Jun Miao, Zheng Wang, Qiang Yang · 发表于：Frontiers in Surgery · 年份：2022 · DOI：10.3389/fsurg.2022.914986 · 被引用次数：10 · 研究领域：Enhanced Recovery After Surgery、Nausea and vomiting management、Anesthesia and Pain Management

Background Full-percutaneous endoscopic lumbar discectomy (F-PELD) is a popular operation for the treatment of lumbar disc herniation (LDH). Some studies have reported that F-PELD in day surgery mode produced favorable outcomes for LDH. At the same time, minimally invasive spinal surgery following enhanced recovery after surgery (ERAS) presents a rising trend in recent years, but few studies reported whether F-PELD will produce better outcomes in the day surgery (DS) mode combined with ERAS. Objective To analyze whether F-PELD in day surgery mode following ERAS can produce better clinical outcomes than in traditional surgery mode. Methods The patients who underwent F-PELD between January 2019 and October 2020 were retrospectively analyzed, and the patients who met the inclusive criteria were followed up. The patients were divided into day surgery (DS) group ( n = 152) that combined with ERAS and traditional surgery (TS) group ( n = 123) without ERAS. The length of hospital stays (LOS), visual analogue scale (VAS), and Oswestry Disability Index (ODI) of two groups were compared before surgery, immediately after surgery, one month after surgery, and one year after surgery. Results A total of 298 patients who underwent F-PELD were reviewed. 290 patients were included in the study and followed up, and 275 patients who had completed the follow-up were available for analysis. There were no statistically significant differences between the two groups in terms of age, gender, preoper...