Application of enhanced recovery program in laparoscopic distal pancreatectomy.
- Author:
Yuan DING
1
;
Zhongquan SUN
1
;
Wenyan ZHANG
1
;
Xiangying ZHANG
1
;
Yuancong JIANG
1
;
Sheng YAN
2
;
Weilin WANG
3
Author Information
1. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
2. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China. shengyan@zju.edu.cn.
3. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China. wam@zju.edu.cn.
- Publication Type:Journal Article
- MeSH:
Case-Control Studies;
Humans;
Laparoscopy;
standards;
Length of Stay;
Pancreatectomy;
instrumentation;
methods;
Postoperative Complications;
prevention & control;
Postoperative Period;
Retrospective Studies
- From:
Journal of Zhejiang University. Medical sciences
2017;46(6):625-629
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the feasibility and safety of applying enhanced recovery after surgery (ERAS) protocol in patients undergoing laparoscopic distal pancreatectomy. Methods: Data of 36 patients undergoing laparoscopic distal pancreatectomy from May 2016 to May 2017 in the First Affiliated Hospital, Zhejiang University School of Medicine were reviewed. The patients were divided into ERAS group (n=12) and control group (n=24). The patients in ERAS group received a series of enhanced recovery procedures, including multimodal analgesia, early off-bed activity and early oral food-taking, etc. Operation time, intraoperative blood loss, time to first flatus, postoperative complications, and length of postoperative hospital stay were evaluated. Results: There were no statistically significant differences in operation time and intraoperative blood loss between ERAS group and control group (all P0.05). The time to first flatus and length of postoperative hospital stay were significantly shortened in ERAS group (all P<0.05). The ERAS group had lower incidence of postoperative complications (41.7% vs. 66.7%), and the complications in ERAS group tended to be milder, but the differences failed to show statistical significance (all P0.05). Conclusion: The ERAS protocol for laparoscopic distal pancreatectomy can significantly promote gastrointestinal function recovery and shorten postoperative hospital stay, and may reduce the incidence of postoperative complications.
