中国普通外科杂志2017，Vol.26Issue(2)：218-222,5.DOI:10.3978/j.issn.1005-6947.2017.02.014
加速康复外科理念在原发性肝癌肝切除术围手术期管理的应用价值
Application value of enhanced recovery concept in perioperative management of hepatectomy for primary liver cancer
彭浪 1王恺 1樊友文 1钟福平 1张翼 2邹书兵1
作者信息
- 1. 南昌大学第二附属医院肝胆外科,江西南昌330006
- 2. 南昌大学第二附属医院胃肠外科,江西南昌330006
- 折叠
摘要
Abstract
Objective:To investigate the advantages of using enhanced recovery after surgery (ERAS) in perioperative management ofhepatectomy for primaryliver cancer.Methods:Eighty-one patients with primary liver cancer admitted from July 2015 to June 2016 were designated to ERAS group (n=40) and control group (n=41) by using a random number table.Patients in ERAS group received perioperative management directed by ERAS concept,while those in control group underwent conventional perioperative management.The main clinical variables between the two groups of patients were compared.Results:The general perioperative data of the two groups of patients showed no significant difference (all P＞0.05).There were no significant differences in surgical types,operative time,intraoperative blood loss and postoperative complications between the two groups of patients,but the time to postoperative bowel function recovery,NRS scores,time to drainage tube removal,and length of postoperative hospital stay in ERAS group were all significantly superior to those in control group (all P＜0.05).All patients were followed up for one month to two months,and there was no hospital readmission or reoperation in any of them within 30 d after surgery.Conclusion:Using ERAS concept in perioperative management of liver cancer resection is safe and effective,and it can accelerate the postoperative recovery of the patients.关键词
癌,肝细胞/肝切除术/围手术期医护Key words
Carcinoma, Hepatocellular/Hepatectomy/Perioperative Care分类
医药卫生引用本文复制引用
彭浪,王恺,樊友文,钟福平,张翼,邹书兵..加速康复外科理念在原发性肝癌肝切除术围手术期管理的应用价值[J].中国普通外科杂志,2017,26(2):218-222,5.
