Supplemental parenteral nutrition in enhanced recovery in postoperative liver cancer patients

VernacularTitle:补充性肠外营养在加速康复外科肝癌患者术后的应用
Author: Kun ZHANG ¹ ; Jingde ZHU ; Xinliang LYU ; Chaoyong TU ; Chuan JIANG ; Qiaomei LIN ; Zhuokai LI ; Qingyun ZHOU ; Chuxiao SHAO
Author Information

1. 丽水市中心医院肝胆胰外科
Keywords: Carcinoma,hepatocellular; Parenteral nutrition; Enteral nutrition
From: Chinese Journal of General Surgery 2019;34(8):693-695
CountryChina
Language:Chinese
Abstract: Objective To explore the effect of supplemental parenteral nutrition (SPN) combined with early enteral nutrition (EN) for enhanced recovery in postoperative liver cancer patients.Methods From June 2015 to June 2018,liver cancer patients admitted to our hospital were randomly divided into two groups with 47 patients receiving SPN combined with early EN in the study group and 45 patients receiving early EN in the control group.Results There were no significant difference in bilirubin recovery,liver enzyme recovery,postoperative exhaust and defecation time and complication rate between the two groups (P ＞ 0.05).In study group prealbumin (PAB) synthesis recovered faster (F =7.89,P =0.006),albumin use was significantly lower (t =-2.29,P =0.0024),and postoperative hospital stay was shorter (t =2.46,P =0.016).Conclusion In ERAS patients with liver cancer,the combination of SPN and early EN provide reasonable energy support to improve nutritional status and accelerate patient recovery.