目的：探讨加速康复外科（Enhanced Recovery After Surgery，ERAS）护理在儿童机器人先天性胆总管囊肿术围手术期的应用。方法：选取2015 年6 月1 日—2020 年9 月30 日在华中科技大学同济医学院附属协和医院行机器人辅助腹腔镜手术的儿童先天性胆总管囊肿患者78 例，将2018 年3 月31 日前入院的手术患儿纳入对照组（47例），采用常规护理干预；将2018 年4 月1 日后入院的手术患儿纳入观察组（31 例），采用ERAS 护理干预。观察两组患儿术后恢复情况及患儿家属心理状况。结果：观察组肠道恢复时间、住院时间及其家属心理状态均优于对照组。结论：在机器人辅助腹腔镜儿童先天性胆总管囊肿术的围手术期应用ERAS 理念护理，有利于加快术后恢复，减少并发症，缩短住院时间，值得在临床中推广。

Objective: To explore the application of Enhanced Recovery After Surgery (ERAS) nursing in the perioperative period of robotic surgery for treating congenital choledochal cyst in children. Methods: From June 1, 2015 to September 30, 2020,78 children with congenital choledochal cyst underwent robotic surgery in Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology. 47 children who admitted to our hospital before March 31, 2018 were included into the control group, and 31 children who admitted to our hospital after April 1, 2018 into the observation group. The control group were given routine nursing and the observation group were given ERAS nursing. Postoperative recovery and psychological states of patients’ family were observed. Results: Compared with the control group, the intestinal recovery time, hospitalization time and family psychological states of the observation group were better. Conclusion: The application of ERAS nursing perspectives in the perioperative period of robot-assisted radical operation for congenital choledochal cyst in children is conducive to accelerate the postoperative recovery, reduce complications and shorten the length of hospital stay, which is worthy of promotion.

收稿日期：2021-04-01 录用日期：2021-06-16

Received Date: 2021-04-01 Accepted Date: 2021-06-16

基金项目：卫计委公益性行业科研专项基金（201402007）

Foundation Item: Speial Funds for Public Welfare Research of the National Health and Family Planning Commission of China(201402007)

通讯作者：史雯嘉，Email：gshiwenjia@163.com

Corresponding Author: SHI Wenjia, Email: gshiwenjia@163.com

引用格式：方觅晶，史雯嘉，汤绍涛，等. 加速康复外科护理在儿童机器人先天性胆总管囊肿根治术围手术期的应用[J]. 机器人外科学杂志（中英文），2023，4（2）：126-132.

Citation: FANG M J, SHI W J, TANG S T, et al. Application of ERAS nursing perspectives in perioperative period of robot-assisted radical operation for congenital choledochal cyst in children [J]. Chinese Journal of Robotic Surgery, 2023, 4(2):126-132.

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