中国实用外科杂志2017，Vol.37Issue(3)：271-275,5.DOI:10.19538/j.cjps.issn1005-2208.2017.03.15
加速康复外科理念在胃癌根治术中应用安全性及可行性分析
Safety and feasibility for enhanced recovery after surgery management in gastric cancer patients undergastrectomy
摘要
Abstract
Objective To investigate the safety and feasibility of enhanced recovery after surgery (ERAS) management in gastric cancer patients under gastrectomy. Methods A total of 57 patients with gastric cancer performed D2 gastrectomy in Group of Gastrointestinal, Department of General Surgery, Guangdong General Hospital from July 2015 to January 2016 were divided into ERAS group(21 cases) and routine group according to the different approaches of the perioperative management(36 cases). The general information,postoperative recovery,inflammatory marks and the numeric rating scale were compared between the two group. Results ERAS group was associated with shorter time to bowel function[(2.95±1.36)d vs.(4.44±1.95)d,P=0.003],shorter and less intraperitoneal catheter drain[(0.95±0.50) vs.(2.03±0.45),P=0.000],[(5.05±3.64)d vs.(8.69±5.40)d,P=0.008],early oral feeding[(1.71±2.39)d vs.(5.39±ERAS management in gastric cancer patients under gastrectomy is safe and feasible,accelerates gastrointestinal peristalsis,eases the pain,decreases postoperative stay.关键词
胃癌/胃切除术/加速康复外科/围手术期Key words
gastric carcinoma/gastrectomy/enhanced recovery after surgery(ERAS)/perioperative period分类
医药卫生引用本文复制引用
王俊江,罗志坚,冯兴宇,李胜,黎伟豪,胡伟贤,吕泽坚,郑佳彬,杨梓锋..加速康复外科理念在胃癌根治术中应用安全性及可行性分析[J].中国实用外科杂志,2017,37(3):271-275,5.基金项目
广东省医学科研基金项目(No.A2016532) （No.A2016532）
广东省科技计划项目(No.2016A020215128) （No.2016A020215128）
广东省自然科学基金项目(No.2016A030313762,No.2016A030310328) （No.2016A030313762,No.2016A030310328）
