Application of enhanced recovery after surgery in the perioperative period of patients undergoing hepatectomy
10.3760/cma.j.issn.1007-631X.2017.03.017
- VernacularTitle:加速康复外科理念在肝癌切除围手术期的应用研究
- Author:
Yuanpeng WANG
;
Huichun LIU
;
Wei HUANG
;
Keyan PAN
;
Hao JIN
;
Lei ZHOU
- Keywords:
Carcinoma;
hepatocellular;
Hepatectomy;
Hospitals;
convalescent;
Pain management
- From:
Chinese Journal of General Surgery
2017;32(3):243-246
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the safety and clinical efficacy of enhanced recovery after surgery in the perioperation period of hepatectomy.Methods 92 patients with primary hepatic cancer who underwent surgical resection in our hospital from December 2014 to May 2016 were divided into two groups,50 patients received well-organized and consecutive clinical interventions guided by ERAS.42 patients underwent traditional perioperative management.Results Compared with traditional group,ERAS group had reduced hospital cost [(40 633.12 ± 6 336.46) RMB vs.(46 139.23 ± 9 605.88) RMB,P ＜ 0.05],shorter postoperative hospital stay[(10.24 ± 1.6) d vs.(13.35 ± 4.86) d,P ＜ 0.05],earlier flatus and defecation [(33.34 ±6.01) h vs.(50.31 ± 3.53) h,P ＜ 0.05],and improved satisfaction rate for pain management[45/50(90％) vs.22/42(52.4％),P ＜ 0.05];while the postoperative adverse events and complications of the two groups showed no difference (P ＞ 0.05).Conclusion The application of ERAS in the perioperation period of hepatectomy is safe and effective,reducing hospital cost,postoperative hospital stay,improving satisfaction rate to pain management,and facilitating recovery in hepatic surgery.
