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Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial

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Abstract

Background

Facilitating the recurrence of spontaneous voiding is considered to be a way to prevent urinary retention after surgery, which is of great importance in cholecystectomy. This study aimed to assess the effect of transcutaneous electrical acupoint stimulation (TEAS) on spontaneous voiding recovery after laparoscopic cholecystectom.

Methods

Participants who underwent elective laparoscopic cholecystectomy were randomly assigned to either the TEAS group or the sham group. Active TEAS or sham TEAS at specific acupuncture points was conducted intraoperatively and postoperatively. The primary outcome was the recovery speed of spontaneous voiding ability after surgery and secondary outcomes included postoperative urinary retention (POUR), voiding dysfunction, pain, anxiety and depression, and early recovery after surgery.

Results

A total of 1,948 participants were recruited and randomized to TEAS (n = 975) or sham (n = 973) between August 2018 and June 2020. TEAS shortens the time delay of the first spontaneous voiding after laparoscopic cholecystectomy (5.6 h [IQR, 3.7–8.1 h] in the TEAS group vs 7.0 h [IQR, 4.7–9.7 h] in the sham group) (p < 0.001). The TEAS group experienced less POUR (p = 0.020), less voiding difficulty (p < 0.001), less anxiety and depression (p < 0.001), reduced pain (p = 0.007), and earlier ambulation (p = 0.01) than the sham group.

Conclusions

Our results showed that TEAS is an effective approach to accelerate the recovery of spontaneous voiding and reduce POUR which facilitates recovery for patients after laparoscopic cholecystectomy.

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Change history

  • 14 April 2023

    Typesetting errors were corrected in the Abstract.

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Acknowledgements

The authors thank the medical and nursing staff and especially all patients participating in this trial. We also thank Prof Daqing Ma (Imperial College, London), for his critical comments during the manuscript preparation. Neither of these individuals received any compensation for their contributions.

Funding

This work was supported by the National Natural Science Foundation of China (No. 82074153) and the “131” talents funding from the Tianjin Health Bureau.

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Author notes

  1. Yan-Fang Zhang and Xiang-Yun Li have contributed equally to this work.

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, Tianjin Nankai Hospital, Tianjin Medical University, 6 Changjiang Road, Tianjin, People’s Republic of China

    Yan-Fang Zhang, Xiang-Yun Li, Yuan Zhang, Li-Rong Gong, Jia Shi, Shi-Han Du, Si-Meng He, Cui Li, Yu-Ting Li, Na Li, Sha-Sha Liu, Ya Wu, Zi-Lei Xie & Jian-Bo Yu

  2. Department of Biomedical Engineering, College of Precision Instruments and Optoelectronics Engineering, Tianjin University, Tianjin, China

    Xiu-Yun Liu & Zheng-Cun Pei

  3. Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, People’s Republic of China

    Xiu-Yun Liu & Zheng-Cun Pei

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  1. Yan-Fang Zhang
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Correspondence to Jian-Bo Yu.

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The study was approved by the appropriate institution and national research ethics committee.

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Informed, written consent was obtained from all individual participants included in the study.

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Zhang, YF., Li, XY., Liu, XY. et al. Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial. World J Surg 47, 1153–1162 (2023). https://doi.org/10.1007/s00268-023-06924-7

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