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| The application effects of enhanced recovery after surgery in perioperative period of open hepatectomy |
| QI Shuo* CHEN Guodong* CAO Peng HU Jiangping HE Gengsheng LUO Jiaxing HE Jun |
| Department of Hepatobiliary Surgery, the First Affiliated Hospital of University of South China, Hu′nan Province, Hengyang 421001, China |
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Abstract Objective To investigate the effect of postoperative recovery of the enhanced recovery after surgery (ERAS) in perioperative period of open hepatectomy. Methods Clinical data of 120 patients with open hepatectomy in the Department of Hepatobiliary Surgery of the First Affiliated Hospital of University of South China were retrospectively analyzed, and they were divided into experimental group (EG, Implement ERAS) and control group (CG, Not implement ERAS), the patients were subdivided into subgroups including hepatic stone group (n=73, EG 38 cases and CG 35 cases), hepatic tumor group (n=47, EG 22 cases and CG 25 cases), hepatectomy at least two segments group (n=49, EG 26 cases and CG 23 cases) and at most two segments group (n=71, EG 34 cases and CG 37 cases). The postoperative white blood cell (WBC), the incidence of moderate to severe pain, exhaust time, feeding time, ambulation time, complications, hospital stays and costs of patients in each groups were compared. Results In the four subgroups, compared with CG, most EG had low peak of WBC postoperative 1, 3 d, less time of exhaust, feeding, and ambulation, lower incidence of severe pain, shorter hospital stay and less hospital cost, the difference was statistically significant (P < 0.05). Conclusion ERAS programs can safely and effectively accelerate recovery of patient undergoing open hepatectomy.
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