Enhanced recovery after surgery in laparoscopic radical gastrectomy for gastric cancer
10.3760/cma.j.issn.1007-631X.2018.12.013
- VernacularTitle:加强术后康复概念在腹腔镜胃癌根治术中的应用评价
- Author:
Zuoliang LIU
1
;
Xuehong XIE
;
Hongpeng TIAN
;
Lifa LI
;
Huafang HOU
;
Guangjun ZHANG
;
Tong ZHOU
;
Xiaobo LIANG
Author Information
1. 川北医学院附属医院肝胆胰肠疾病研究所胃肠外科
- Keywords:
Stomach neoplasms;
Perioperative period;
Laparoscopy;
Enhanced recovery after surgery
- From:
Chinese Journal of General Surgery
2018;33(12):1026-1029
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and effectiveness of enhanced recovery after surgery (ERAS) in laparoscopic radical gastrectomy for gastric cancer.Methods From May 2015 to July 2017,149 patients with gastric cancer in our department were prospectively enrolled and randomly divided into the ERAS group (n =75) and control group (n =74).Results In ERAS group compared to control group,the time to first passage of flatus was (51 ± 11)vs.(62 ± 11)h,first feeding time (46 ± 12) vs.(68 ±20)h,gastric tube removal time (13 ± 12)h vs.(70 ± 16) h,pain score on the first day after surgery (3.9 ±1.3) vs.(5.2 ±0.9),C-reaction protein level (8.5 ±2.6) mg/L vs.(10.1 ±3.0)mg/L,post-op hospital stay (6.9 ± 2.9) d vs.(11.2 ± 3.5) d,were all significantly different (all P ＜ 0.05).The postoperative complication rates was 25％ vs.28％ respectively,(x2 =0.101,P =0.750).Conclusions Enhanced recovery after surgery can promote the postoperative recovery and shorten the time of hospitalization in laparoscopic-assisted radical gastrectomy for gastric cancer.
