当前位置： SCI文献检索 > SURGERY期刊下所有文献 > Are postoperative intravenous fluids in patients undergoing elective laparoscopic cholecystectomy a necessity? A randomized clinical trial.

Are postoperative intravenous fluids in patients undergoing elective laparoscopic cholecystectomy a necessity? A randomized clinical trial.

Abstract：

BACKGROUND:Intravenous (IV) fluid therapy should be individualized according to each patient's weight, disease, and comorbidities, as well as the type and duration of the operative procedure. Laparoscopic cholecystectomy represents one of the most common, short-duration operations; thus, the aim of this study was to assess the necessity of postoperative administration of IV fluids. METHOD:A randomized clinical trial with patients undergoing elective laparoscopic cholecystectomy was performed. Patients were randomly assigned to control group (IV fluids at the surgeon's discretion) and study group (no IV fluids after the operation). Body weight and composition, total intravenous fluids, urinary output, creatinine levels, and the presence of thirst and hunger were assessed. Costs related to the administration of postoperative IV fluids were measured. RESULTS:The study and control groups were similar with regard to sex distribution, age, and general characteristics. There was a significant difference in the amount of infused IV fluids (1,600 mL vs 3,000 mL), directly related to the amount offered postoperatively to the control group. Weight, extracellular water, and urinary output (1,257 ± 736 mL vs 888 ± 392 mL; P < .05) were increased in the control group, and this was positively correlated with the volume of infused fluids (r = 0.333). There were no differences in creatinine levels, thirst, hunger, and well-being features. An average of 10.7 minutes per patient of nursing time was required for IV administration. Cost related to IV fluids was increased in the control group. CONCLUSION:Postoperative intravenous fluids are not necessary in patients undergoing laparoscopic cholecystectomy, and their use is associated with increased nursing time and costs.

journal_name

Surgery

journal_title

Surgery

authors

Henriques JR,Correia MITD

doi

10.1016/j.surg.2017.10.030

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

721-725

issue

4

eissn

0039-6060

issn

1532-7361

pii

S0039-6060(17)30766-3

journal_volume

163

pub_type

杂志文章,随机对照试验

相关文献

SURGERY文献大全
  • Adrenal surgery for hypercortisolism--surgical aspects.

    abstract：BACKGROUND:Patients with endogenous hypercortisolism are thought to be at high risk for adrenalectomy and may experience significant postoperative surgical mortality/morbidity. METHODS:From 1981 through 1991, 91 patients underwent adrenal resection for endogenous hypercortisolism. Causes were adrenal-dependent Cushing...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(05)80069-8

    authors： van Heerden JA,Young WF Jr,Grant CS,Carpenter PC

    更新日期：1995-04-01 00:00:00

  • The use of the Jarvik-7 total artificial heart and the Symbion ventricular assist device as a bridge to transplantation.

    abstract：:The proliferation of transplantation programs has not been paralleled by a similar increase in the availability of organ donors. Between 1984 and 1987, 104 orthotopic heart transplantations were performed at Loyola University Medical Center. During the same period, 25 patients died while awaiting a donor organ. To red...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Pifarre R,Sullivan HJ,Montoya A,Bakhos M,Grieco J,Foy BK,Blakeman B,Costanzo-Nordin MR,Altergott R,Lonchyna V

    更新日期：1990-10-01 00:00:00

  • Early postburn lipid peroxidation: effect of ibuprofen and allopurinol.

    abstract：:We measured lipid peroxidation of plasma, lung, and liver in anaesthetized sheep after third-degree burns involving 30% of total body surface. Animals were resuscitated to baseline filling pressures with lactated Ringer's solution and killed 10 hours after burn. Six sheep were pretreated with ibuprofen (12.5 mg/kg) an...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Demling RH,LaLonde C

    更新日期：1990-01-01 00:00:00

  • Caudate lobe resection to reduce inferior vena caval hypertension prior to portacaval shunt.

    abstract：:Coexistent caval and portal hypertension was recognized on preoperative angiographic study of a patient with cirrhosis and variceal bleeding. This hemodynamic situation can preclude adequate reduction of portal hypertension by portasystemic shunt and can result in fatal postoperative bleeding. Resection of a very larg...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Glotzer DJ,Martini DJ,Sacks BA

    更新日期：1980-05-01 00:00:00

  • Extent of liver resection is associated with incomplete liver restoration and splenomegaly a long period after liver resection.

    abstract：BACKGROUND:Little is known about the clinical significance and risk factors for incomplete liver restoration after partial hepatectomy, which is defined by a liver volume restoration of less than 100% of the original volume. METHODS:We retrospectively analyzed patients who underwent hepatic resection for liver tumors ...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2020.02.022

    authors： Nam NH,Taura K,Kimura Y,Uemoto Y,Yoshino K,Fukumitsu K,Ishii T,Seo S,Iwaisako K,Uemoto S

    更新日期：2020-07-01 00:00:00

  • Abdominal wall replacement with plastic mesh in ablative cancer surgery.

    abstract：:Planned excisions of tumors involving the abdominal or chest wall should not be compromised because of lack of tissue for wound closure. Reconstruction with an inert polypropylene mesh provides a strong and stable covering for the defect. Mobilization of adjacent skin flaps to provide covering for the mesh is desirabl...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Karakousis CP,Elias EG,Douglass HO Jr

    更新日期：1975-10-01 00:00:00

  • Leakage of the gastroenteric anastomosis after pancreatoduodenectomy.

    abstract：BACKGROUND:Common anastomotic complications after pancreatoduodenectomy (PD) are leakage from the pancreaticojejunostomy or hepaticojejunostomy. Leakage from the gastroenteric anastomosis has rarely been described. We evaluated the incidence of gastroenteric leakage after PD and described its presentation, treatment, a...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2014.03.044

    authors： Eshuis WJ,Tol JA,Nio CY,Busch OR,van Gulik TM,Gouma DJ

    更新日期：2014-07-01 00:00:00

  • Mild hepatic steatosis is not a major risk factor for hepatectomy and regenerative power is not impaired.

    abstract：BACKGROUND:An understanding of the regeneration power and operative risk of steatotic livers after hepatectomy is still unclear. We evaluated the volume regeneration and outcome of steatotic livers after donor hepatectomy. METHODS:Fifty-four, consecutive living liver donors from September 2002 to December 2003 were ev...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2005.09.007

    authors： Cho JY,Suh KS,Kwon CH,Yi NJ,Lee KU

    更新日期：2006-04-01 00:00:00

  • Effects of laparoscopy on intraperitoneal tumor growth and distant metastases in an animal model.

    abstract：BACKGROUND AND AIMS:Laparoscopic surgery for colorectal cancer is currently being evaluated in humans. The aim of this study was to examine the effect of laparoscopy on intraperitoneal tumor growth and distant metastases in an animal model. We also examined the effect of combining laparotomy with laparoscopy and on inf...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1067/msy.1999.99056

    authors： Dorrance HR,Oien K,O'Dwyer PJ

    更新日期：1999-07-01 00:00:00

  • Abdominal aortic reconstruction without renal bypass in renal transplant patients.

    abstract：:Abdominal aortic reconstruction was successfully performed in three kidney transplant patients without the use of any specific measures to protect the kidney transplant during aortic cross-clamping. The cases are discussed in relation to previously published case reports describing various surgical techniques to prote...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Jivegård L,Blohmé I,Holm J,Karlberg I

    更新日期：1989-07-01 00:00:00

  • Etiologic factors for recurrent carotid artery stenosis.

    abstract：:Since 1966, 29 patients with recurrent carotid artery stenosis have been encountered. The mean (+/- SEM) internal between initial carotid endarterectomy and secondary presentation was 67.5 +/- 9.2 months (range 6 to 180 months). There was a disproportionate number of women with recurrent stenosis. The mean age at init...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Clagett GP,Rich NM,McDonald PT,Salander JM,Youkey JR,Olson DW,Hutton JE Jr

    更新日期：1983-02-01 00:00:00

  • Does center or surgeon volume influence adoption of minimally invasive versus open pancreatoduodenectomy? A systematic review and meta-regression.

    abstract：BACKGROUND:There has been increasing uptake of minimally invasive pancreatoduodenectomy during the past decade, but it remains a highly specialized procedure as benefits over open pancreatoduodenectomy remain contentious. This study aimed to evaluate current evidence on minimally invasive pancreatoduodenectomy versus o...

    journal_title：Surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.surg.2020.09.019

    authors： Kamarajah SK,Abu Hilal M,White SA

    更新日期：2020-11-09 00:00:00

  • Nitric oxide regulates insulin secretion in the isolated perfused human pancreas via a cholinergic mechanism.

    abstract：BACKGROUND:The purpose of this study was to determine whether nitric oxide regulates insulin secretion in the isolated perfused human pancreas. METHODS:Single-pass perfusion was performed in four pancreata with a modified Krebs medium. Sequential 10-minute infusions (separated by 10-minute basal periods) of (1) 25 nmo...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(96)80305-9

    authors： Atiya A,Cohen G,Ignarro L,Brunicardi FC

    更新日期：1996-08-01 00:00:00

  • Depression of myocardial ATPase activity by plasma obtained during positive end-expiratory pressure.

    abstract：:Dogs treated with 15 cm H2O positive end-expiratory pressure (PEEP) invariably show a decrease in cardiac output (CO). Plasma that is obtained from PEEP-treated dogs and applied to an isometrically contracting rat papillary muscle results in a significant depression of the peak developed tension. The present study eva...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Utsunomiya T,Krausz MM,Dunham B,Shepro D,Hechtman HB

    更新日期：1982-03-01 00:00:00

  • Delayed washout of intratumor blood flow is associated with good response to intraarterial chemoembolization for liver metastasis of colorectal cancer.

    abstract：BACKGROUND:We studied stagnation of the blood in hepatic metastatic lesions of colorectal cancer. METHODS:Twenty-two hepatic tumors in 11 patients with liver metastases of colorectal cancers were investigated in this study. With a catheter inserted into the roots of the proper hepatic artery, 5 to 10 mCi 133Xe was inj...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Kameyama M,Imaoka S,Fukuda I,Nakamori S,Sasaki Y,Fujita M,Hasegawa Y,Iwanaga T

    更新日期：1993-07-01 00:00:00

  • Early gastric cancer with signet-ring cell histologic type: risk factors of lymph node metastasis and indications of endoscopic surgery.

    abstract：BACKGROUND:To clarify the biologic behavior of the early signet-ring cell cancers (SRCs) by comparing the clinicopathologic features and the incidence of lymph node metastasis between different histologic types of early gastric cancer (EGC) and to propose the indications of endoscopic surgery for SRCs. METHODS:Clinico...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2010.07.006

    authors： Tong JH,Sun Z,Wang ZN,Zhao YH,Huang BJ,Li K,Xu Y,Xu HM

    更新日期：2011-03-01 00:00:00

  • A novel technique for heterotopic vascularized pancreas transplantation in mice to assess ischemia reperfusion injury and graft pancreatitis.

    abstract：BACKGROUND:Although various suture techniques for murine pancreas transplantation have been described, severe limitations have limited their widespread use. We therefore designed a surgical model for cervical heterotopic pancreas transplantation using a cuff technique. METHODS:C57BL6 mice were used as donor and recipi...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2006.07.037

    authors： Maglione M,Hermann M,Hengster P,Schneeberger S,Mark W,Obrist P,Margreiter R,Brandacher G

    更新日期：2007-05-01 00:00:00

  • Medullary thyroid carcinoma: results of a standardized surgical approach in a contemporary series of 80 consecutive patients.

    abstract：BACKGROUND:The surgical management and follow-up strategy in patients with medullary thyroid carcinoma (MTC) remain controversial because of the lack of data on the natural history of these tumors and their patterns of progression. METHODS:We reviewed the records of all patients who underwent a cervical operation for ...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(03)00408-2

    authors： Yen TW,Shapiro SE,Gagel RF,Sherman SI,Lee JE,Evans DB

    更新日期：2003-12-01 00:00:00

  • Liver stiffness measurement by transient elastography predicts late posthepatectomy outcomes in patients undergoing resection for hepatocellular carcinoma.

    abstract：BACKGROUND:Postoperative hepatic decompensation is a serious complication of liver resection in patients undergoing hepatectomy for hepatocellular carcinoma. Liver fibrosis and clinical significant portal hypertension are well-known risk factors for hepatic decompensation. Liver stiffness measurement is a noninvasive m...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2017.06.006

    authors： Rajakannu M,Cherqui D,Ciacio O,Golse N,Pittau G,Allard MA,Antonini TM,Coilly A,Sa Cunha A,Castaing D,Samuel D,Guettier C,Adam R,Vibert E

    更新日期：2017-10-01 00:00:00

  • Adenosine stimulates glucose uptake in the isolated rat heart.

    abstract：:Adenosine (Ado) is a potent coronary vasodilator. Recent studies suggest that Ado may also have an important effect on myocardial carbohydrate metabolism. To determine whether Ado has a direct effect on myocardial glucose uptake, a recirculating, constant-flow, isolated rat-heart preparation was used. The hearts were ...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Mainwaring R,Lasley R,Rubio R,Wyatt DA,Mentzer RM Jr

    更新日期：1988-04-01 00:00:00

  • Therapeutic efficacy of Biobrane in partial- and full-thickness thermal injury.

    abstract：:Cadaver allograft skin, porcine xenograft skin, and amniotic membranes have been proved to be adequate temporary thermal wound coverings in four clinical situations: coverage of shallow wounds while awaiting epithelialization (SW), coverage of deep wounds after eschar excision (DEW), coverage of widely meshed autograf...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： McHugh TP,Robson MC,Heggers JP,Phillips LG,Smith DJ Jr,McCollum MC

    更新日期：1986-10-01 00:00:00

  • Teratoma in the region of adrenal gland: a unique entity masquerading as lipomatous adrenal tumor.

    abstract：BACKGROUND:The aim of this study was to establish the clinical and pathologic aspects of 3 atypical lipomatous lesions in the region of the adrenal gland. METHODS:Three young Chinese patients (ages 18, 18, and 37 years) were seen for nonspecific back pain. Radiologic examination revealed a lipomatous lesion in the reg...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1067/msy.1999.98924

    authors： Lam KY,Lo CY

    更新日期：1999-07-01 00:00:00

  • Reappraisal of timing for exploration of civilian peripheral nerve injuries.

    abstract：:Operative as well as electrophysiologic experience with 213 major nerve injuries over the last 8 years and primate experiments form the basis of this reappraisal. Those lesions in continuity resected (58 of 172) usually had no response to stimulation or nerve action potential (NAP) at 8 weeks or longer after injury bu...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Kline DG,Hackett ER

    更新日期：1975-07-01 00:00:00

  • Care fragmentation is associated with increased short-term mortality during postoperative readmissions: A systematic review and meta-analysis.

    abstract：BACKGROUND:Recent trends toward regionalization of complex surgical procedures may increase the risk for care fragmentation during readmissions. Conflicting conclusions have been reported regarding risk factors and consequences of nonindex readmissions (ie, readmission to a separate hospital than the one where surgery ...

    journal_title：Surgery

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.surg.2018.08.021

    authors： Juo YY,Sanaiha Y,Khrucharoen U,Chang BH,Dutson E,Benharash P

    更新日期：2019-03-01 00:00:00

  • Desmoid tumor: musculoaponeurotic fibrosis of the abdominal wall.

    abstract：:A 26-year-old woman developed a desmoid tumor of the lower abdominal wall shortly after the birth of her fourth child. It measured 15 by 17 cm. and involved most of the lower abdominal wall of this small-framed woman. Operative removal would have been mutilating and almost surely doomed to failure. No treatment was gi...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Caldwell EH

    更新日期：1976-01-01 00:00:00

  • Duodenoesophageal reflux and the development of esophageal adenocarcinoma in rats.

    abstract：BACKGROUND:The carcinogenic effect of duodenoesophageal reflux, gastroesophageal reflux, and nitrosamines was studied in the rat esophagus. METHODS:Twenty male Sprague-Dawley rats underwent esophagogastroplasty to produce gastroesophageal reflux and 60 underwent duodenoesophageal anastomosis to produce duodenoesophage...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Attwood SE,Smyrk TC,DeMeester TR,Mirvish SS,Stein HJ,Hinder RA

    更新日期：1992-05-01 00:00:00

  • Administration of a dipeptidyl peptidase IV inhibitor enhances the intestinal adaptation in a mouse model of short bowel syndrome.

    abstract：BACKGROUND:Glucagon-like peptide-2 induces small intestine mucosal epithelial cell proliferation and may have benefit for patients who suffer from short bowel syndrome. However, glucagon-like peptide-2 is inactivated rapidly in vivo by dipeptidyl peptidase IV. Therefore, we hypothesized that selectively inhibiting dipe...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2011.05.013

    authors： Okawada M,Holst JJ,Teitelbaum DH

    更新日期：2011-08-01 00:00:00

  • Advanced age alone does not suppress anastomotic healing in the intestine.

    abstract：BACKGROUND:Because retrospective clinical studies yield conflicting results and experimental data are completely absent, this study was performed to determine whether anastomotic repair in the intestine deteriorates with age. METHODS:Ileal and colonic anastomoses were constructed in two groups of healthy rats, ages 2 ...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(96)80207-8

    authors： Stoop MJ,Dirksen R,Hendriks T

    更新日期：1996-01-01 00:00:00

  • Intraoperative parathyroid hormone monitoring as an adjunct to parathyroidectomy.

    abstract：BACKGROUND:Parathyroidectomy has a success rate of greater than 95% in the hands of experienced surgeons. To maintain this result in a more cost-effective way, intraoperative monitoring of intact parathyroid hormone (iPTH) has been used to decrease operative times. This technique signals when all hyperfunctioning tissu...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(96)80040-7

    authors： Boggs JE,Irvin GL 3rd,Molinari AS,Deriso GT

    更新日期：1996-12-01 00:00:00

  • Payer status is related to differences in access and outcomes of abdominal aortic aneurysm repair in the United States.

    abstract：BACKGROUND:The hypothesis of this study was that differences exist among patients with private insurance compared with patients with Medicaid or no insurance, regarding access to the timely treatment of abdominal aortic aneurysms (AAAs) and the outcomes of AAA repair. METHODS:The study comprised 5363 patients aged les...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1067/msy.2003.214

    authors： Boxer LK,Dimick JB,Wainess RM,Cowan JA,Henke PK,Stanley JC,Upchurch GR Jr

    更新日期：2003-08-01 00:00:00