Application value of enhanced recovery after surgery in the radical distal gastrectomy
10.3969/j.issn.1009-9905.2018.01.005
- VernacularTitle:ERAS在远端胃癌根治术中的应用价值
- Author:
De-Hai WANG
1
;
Zhi-Peng JI
;
Yi-Feng ZANG
;
Quan-Hui LI
;
Bing-Tian LIU
;
Xiang-Rui MENG
;
Yin-Lu DING
Author Information
1. 山东大学第二医院普外科 山东 济南250033
- Keywords:
Radical Distal Gastrectomy;
Enhanced recovery after surgery;
Perioperative period
- From:
Chinese Journal of Current Advances in General Surgery
2018;21(1):17-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of enhanced recovery after surgery (ERAS) in the Radical Distal Gastrectomy.Methods:The clinical data of 52 patients who underwent radica distal gastrectomy surgery from Jan 2016 to Jan 2017 were collected,and divided into the ERAS group and the control group.Results:(1) Operation condition:the operative time,volume of intraoperative blood loss,number of patients with conversion to open surgery showed no statistically significant difference between the 2 groups (P＞0.05).(2)postoperative clinical indexes:time for initial anus exhaust,time for initial liquid diet intake,time for out-of-bed activity,time of urinary catheter removal,duration of hospital stay of patients without complications days in the ERAS group and days in the control group,respectively,have been 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 number of postoperative complications during hospitalization between the 2 group had no statistically difference(P＞0.05).(3)Postoperative complications:at the first days and the third days after operation,WBC,CRP and IL-6 in ERAS group were lower than thoese in the control group,the differences were statistically significant.Conclusion:The perioperative ERAS program in distal gastrectomy is safe and effective and should be popularized.
