Short-term outcomes of patients treated with enhanced recovery after surgery combined with laparoscopic colorectal cancer surgery
10.3760/cma.j.issn.1007-631X.2019.03.004
- VernacularTitle:腹腔镜辅助结直肠癌手术联合加速康复外科处理的近期疗效分析
- Author:
Pu CHENG
1
;
Zhao LU
;
Mingguang ZHANG
;
Xu GUAN
;
Haitao ZHOU
;
Jianwei LIANG
;
Wei PEI
;
Zheng LIU
;
Zheng JIANG
;
Qian LIU
;
Xishan WANG
;
Zhaoxu ZHENG
Author Information
1. 国家癌症中心/国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院结直肠外科 100021
- Keywords:
Colorectal neoplasms;
Laparoscopy;
Enhanced recovery after surgery
- From:
Chinese Journal of General Surgery
2019;34(3):204-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of enhanced recovery after surgery (ERAS) used in laparoscopic colorectal cancer surgery.Methods We conducted a retrospective analysis of the medical records of 99 cases treated with ERAS programed laparoscopic colorectal cancer surgery (ERAS group) and 103 cases treated with traditional perioperative care and laparoscopic colorectal cancer surgery (controlled group) from Mar 2017 to Sep 2017 in our center.Results There was no significant difference in age,gender,BMI,ASA classification,tumor location,operation time,pathological stage and the incidence of postoperative complications between ERAS group and controlled group (all P ＞ 0.05).Compared to control group,ERAS had less blood loss,shorter time to pass first flatus,stool and start diet and shorter hospitalization day,with all the difference statistically significant [(60 ± 63)ml vs.(112 ± 245)ml,(3.0±0.8)dvs.(4.3 ±1.2)d,(3.5 ±1.0)dvs.(4.6±1.3)d,(4.1 ±1.2)dvs.(5.4± 2.0)d,(5.8±2.1)dvs.(7.8±2.5)d,t=-2.021、-9.216、-6.887、-5.252、-6.163,allP＜ 0.05].No patients in both groups suffered from readmission or death within 30 days after surgery.Conclusion Patients treated with ERAS programed laparoscopic colorectal cancer surgery is safe and effective,with rapid recovery and reduced hospital stay.
