Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (2): 122-125 DOI: 10.16260/j.cnki.1009-2188.2018.02.010 |
| Clinical Research |
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| The Application of Enhance Recovery after Surgery in Perioperative Period of Laparoscopic ColorectalSurgery |
| ZHU Zhou1, ZHONG Xiao-gang1， QIN Jian2
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| 1.?Department?of?Gastrointestinal?Surgery,?People's?Hospital?of?Guangxi?Zhuang?Autonomous?Region,?Nanning?530021,?Guangxi,?China； 2.?Department?of?Radiotherapy,?People's?Hospital?of?Guangxi?Zhuang?Autonomous?Region,?Nanning?530021,?Guangxi,?China |
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Abstract Objective To observe the effect of enhance recovery after surgery (ERAS) on the postoperative rehabilitation in the patients undergoing laparoscopic radical surgery for colorectal cancer. Methods 106 patients with laparoscopic radical resection of colorectal cancer were randomly divided into the conventional group (n=54) and the ERAS group (n=52). It was compared in the aspects of the first postoperative anal exhaust time, the first defecation time, feeding time and catheter removal time, postoperative pain score, and complications, such as postoperative anastomotic leakage, pulmonary infection, abdominal infection and intestinal obstruction. Results There was no significant difference in operation time and the hemorrhage volume. But time of the first anal exhaust and defecation, time of feeding, time of catheter removal, and the pain score of the ERAS group were all better than that of the conventional group (P<0.05). There was no difference in the complication rate (P>0.05). Conclusion The EARS concept using in the laparoscopic radical surgery for patients with colorectal cancer can relieve postoperative inflammatory reactions more effectively, reduce catabolism, and promote the recovery of the gastrointestinal function, which plays a positive role in the accelerated recovery after surgery.
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Published: 14 August 2018
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Corresponding Authors:
ZHONG Xiao-gang
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