Efficacy and safety of enhanced recovery after surgery concept combined with precise hepatectomy for the treatment of hepatocellular carcinoma
10.3760/cma.j.issn.1007-631X.2018.11.005
- VernacularTitle:加速康复外科理念联合精准肝切除治疗肝细胞癌的有效性及安全性分析
- Author:
Pengfei LUO
1
;
Xiali MU
;
Weidong JIA
Author Information
1. 阜阳市人民医院普外科
- Keywords:
Carcinoma,hepatocellular;
Hospitals,convalescent;
Hepatectomy
- From:
Chinese Journal of General Surgery
2018;33(11):911-914
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficiency of enhanced recovery after surgery (ERAS) concept combined with precise hepatectomy (EP) in the treatment of hepatocellular carcinoma (HCC).Methods 393 HCC patients admitted to the Affiliated Provincia Hospital of Anhui Medical University were divided into group EP (n =73),precise hepatectomy group P (n =55),group ERAS (n =118) and conventional hepatectomy group C (n =147).Outcome measures were postoperative length of stay (LOS),hospital charges,postoperative complication,numerical rating scale (NRS) on postoperative 24 h,48 h,time to ambulation and first passage of flatus,readmission rate,mortality.Results Compared to group P,patients in group EP had significantly shorter postoperative LOS (F =4.573,P ＜ 0.05),less hospital charges(F =3.090,P ＜ 0.05),lower NRS on postoperative 24 h,48 h (F =5.235,7.456,P ＜ 0.05),shorter time to ambulation (x2 =41.387,P ＜ 0.05) and first passage of flatus (F =0.387,P ＜ 0.05).Compared with the group ERAS,the group EP had significantly lower general postoperative complications (x2 =2.967,P ＜ 0.05).Conclusion ERAS concept combined with precise hepatectomy could optimize surgical treatment of patients with hepatocellular carcinoma.
