Effect of early postoperative activity on recovery of hepatocellular carcinoma patients with portal hypertension
10.3969/j.issn.1009-0754.2024.03.015
- VernacularTitle:术后早期活动对伴门静脉高压肝癌切除术患者康复的影响
- Author:
Yali LIU
1
;
Jieqiong ZHAO
;
Xuxu HE
;
Zhihui ZOU
Author Information
1. 201805 上海,海军军医大学第三附属医院
- Keywords:
Early postoperative activity;
Hepatocellular carcinoma with portal hypertension;
Hepatectomy;
Rehabilitation
- From:
Journal of Navy Medicine
2024;45(3):280-285
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of early postoperative activities on rehabilitation and discharge in hepatocellular carcinoma patients with portal hypertension.Methods A total of 423 patients who underwent surgical treatment for hepatocellular carcinoma with portal hypertension in The Third Affiliated Hospital of Naval Medical University from June 2019 to June 2021 were collected as research objects.There were 348 patients without early postoperative activity and 75 patients with early postoperative activity.The impacts of preoperative factors(age,gender,smoking history,etc.)and intraoperative factors(intraoperative hepatic portal block,perioperative blood transfusion,and tumor size)on postoperative recovery of patients were analyzed.In order to reduce the selection bias,75 patients were chosen from 348 patients without early postoperative activity by propensity score matching and taken as non-early activity group.Early postoperative complications,gastrointestinal function recovery(including first ventilation time,abdominal distension,and diarrhea),postoperative hospital stay,and total hospital stay were compared between non-early activity group and early activity group before and after propensity score matching.Results There was no significant difference in the incidences of serious postoperative complications,postoperative diarrhea,or total length of hospital stay between non-early activity group and early activity group before and after propensity score matching(P>0.05).But there were significant differences in the incidences of first ventilation time,postoperative abdominal distension,and postoperative hospital stay between the two groups(P<0.05).Conclusion Early postoperative activities can accelerate the recovery of gastrointestinal function in portal hypertension patients undergoing hepatectomy,promote the intake and absorption of nutrients,facilitate the recovery of postoperative liver function,shorten the postoperative hospital stay,and promote the early recovery of patients.
