Application of enhanced recovery after surgery in total laparoscopic uncut Roux-en-Y gastrojejunostomy
10.3969/j.issn.1009-9905.2018.01.003
- VernacularTitle:加速康复外科理念在全腹腔镜非离断式胃空肠Roux-en-Y吻合术中的应用
- Author:
Yi-Feng ZANG
1
;
Xiang-Rui MENG
;
Zhi-Peng JI
;
Yin-Lu DING
Author Information
1. 山东大学第二医院普外科 山东 济南250033
- Keywords:
Distal gastric cancer radical operation;
Enhanced recovery after surgery;
Perioperative period;
Uncut Roux-en-Y gastrojejunostomy
- From:
Chinese Journal of Current Advances in General Surgery
2018;21(1):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of enhanced recovery after surgery (ERAS) in total laparoscopic Uncut Roux-en-Y gastrojejunostomy after distal gastrectomy.Methods:The clinical data of 42 patients who were divided into ERAS group (n=20) and control group (n=22) were collected.Observation indicators included operation condition,postoperative clinical indexes and postoperative serum stress indexes.Measurement data with normal distribution were presented as-x±s and analyzed by T test.Count data were analyzed by the chi-square test.Results:The operative time,volume of intraoperative blood loss and number of patients with conversion to open surgery shown no statistically significant difference between the 2 groups(P＞0.05).Postoperative clinical indexes:time for initial anus exhaust,time for initial liquid diet intake,time for out-of-bed activity,duration of hoSpital stay of patients without complications in the ERAS group were lower than in the control group,with statistically significant differences between the 2 groups (P＜0.05).But the time to initial defecation,time of abdominal drainage-tube removal and the early postoperative complications between the 2 group had no statistically difference(P＞0.05). Postoperative complications:at the first days and the third days after operation,WBC,CRP and I L-6 in ERAS group were lower than in the control group,the differences were statistically significant (P＜0.05).Conclusion:The perioperative ERAS program in total laparoscopic Uncut Roux-en-Y gastrojejunostomy after distal gastrectomy is safe and effective and should be popularized,meanwhile,it can also reduce duration of hospital stay and improve the comfortable degree and satisfaction of patients.
