JOURNAL OF CLINICAL SURGERY ›› 2019, Vol. 27 ›› Issue (5): 404-407.doi: 10.3969/j.issn.1005-6483.2019.05.016

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The concept of enhanced recovery after surgery in laparoscopic radical gastrectomy

  

  • Online:2019-05-20 Published:2019-05-20

Abstract: Objective:To explore the safety and feasibility of Enhanced Recovery After Surgery(ERAS)in laparoscopic radical gastrectomy for gastric cancer.Methods:194 gastric cancer patients who underwent laparoscopic radical gastrectomy in our hospital were enrolled in this randomized controlled trial.The subjects were randomly divided into the ERAS program group(n=98),and the conventional control group(n=96).The clinical characteristics,recovery variables,and complications of patients were analyzed.Results:In the ERAS group,the removal time of abdominal drainage tube,the time of gastric tube removal,the time of anus recovery,exhaust defecation,oral fluid diet time,halfflow diet time and hospital stay were significantly shortened,and the hospitalization cost was significantly reduced.There was statistical difference between the two groups(P<0.05).The incidence of intestinal obstruction,delayed gastric emptying,and incision infection was lower in the ERAS program group than in the control group,with a significant difference(P<0.05).Conclusion:The concept of enhanced recovery after surgery is safely and effectively applied to laparoscopic radical gastrectomy for gastric cancer.

Key words: gastric cancer, gastrectomy, laparoscopic, enhanced recovery after surgery

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