ĐÁNH GIÁ HIỆU QUẢ CỦA CHIẾN LƯỢC TĂNG CƯỜNG HỒI PHỤC SỚM SAU PHẪU THUẬT (ERAS) TRÊN BỆNH NHÂN TÁN SỎI THẬN QUA DA: BÁO CÁO KẾT QUẢ NGHIÊN CỨU TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objectives: To evaluate the current status and compliance rate of a 16-intervention ERAS protocol in patients undergoing mini-PCNL at Bach Mai Hospital and assess clinical and subclinical outcomes following the implementation of this strategy. Particpants and

Methods: A prospective descriptive study was conducted on 123 patients diagnosed with renal stones and indicated for ultrasound-guided mini-PCNL at Bach Mai Hospital from September 2024 to July 2025. Patients were managed under a comprehensive ERAS protocol covering pre-, intra-, and postoperative phases.

Results: The mean age of the patients was 51.97 ± 11.08 years, with a male-to-female ratio of 1.86/1. The overall protocol compliance rate was 75.9%, with the intraoperative phase achieving the highest compliance (83.92%). Absolute compliance (100%) was recorded for nutritional screening, skin preparation, and prophylactic antibiotics. Regarding clinical outcomes: the mean Visual Analog Scale (VAS) pain score was < 2 at all follow-up points; the mean postoperative hospital stay was $4.27 \pm 3.42$ days. The overall complication rate according to the Clavien-Dindo classification was 13.8%, primarily consisting of fever (6.5%) and minor bleeding (4.9%). No mortality or major complications (Grade III-V) were reported.

Conclusion: Implementing ERAS in percutaneous nephrolithotomy at Bach Mai Hospital is feasible and safe. This strategy optimizes pain control, maintains homeostasis, shortens hospital stay, and enhances patient comfort without increasing the complication rate.