JOURNAL OF CLINICAL SURGERY ›› 2020, Vol. 28 ›› Issue (5): 444-446.doi: 10.3969/j.issn.1005-6483.2020.05.012

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The analysis of clinical efficacy of enhanced recovery after surgery in right hemicolectomy for elderly patiens with colon cancer 


  • Online:2020-05-20 Published:2020-05-20

Abstract: Objective:To investigate the safety and clinical effect of enhanced recovery after surgery(ERAS)in right hemicolectomy for elderly patiens with colon cancer.Methods:65 patients diagnosed with right colon cancer were selected between March 2016 to December 2019 in Guang dong nongken central hospital.According to the digestive tract reconstruction method,the patients were divided into 35 cases in the ERAS group and 30 cases in the control group.ERAS group received enhanced recovery after surgery management,while contral group received traditional managnement.operation time,blood loss,postoperative exhaust and defecation time,postoperative hospital stay,postoperative inflammatory factor level,postoperative complications and patient satisfaction of the two groups was compared.Results:All the 65 patients recovered and were discharged smoothly,and the postoperative exhaust time of ERAS group and control group were(46.8±3.2)h vs(58.4±2.1)h and defecating time were(66.5±4.2)h vs(8.3±3.5)h,respectively.Postoperative hospitalization days were(5.2d vs 8.6d,respectively.The ERAS group were shorter than those in the control group(P<0.05).The levels of inflammatory factors in postoperative day 1 and day 3,PCT were(1.3±0.2)ng/ml and(3.2±0.6)ng/ml,(0.63±0.14)ng/ml and(1.5±0.2)ng/ml),respectively.CRP were(128.5±3.5)ng/ml and(150.7±7.2)ng/ml,(88.2±4.2)ng/ml and(109.4±6.5)ng/ml,respectively.The postoperative pulmonary infection were 2.86% vs 13.33%,,respectively.Which were lower than the control group(P<0.05).The satisfaction of patients were 98.6 vs 93.2,respectively.Which was higher than that of the control group(P>0.05),and there was no significant difference in operation time and blood loss between the two groups(P>0.05).There was no significant difference in postoperative abdominal distension,vomiting and intestinal obstruction between the two groups(P>0.05).Conclusion:In the elderly patients with right hemicolectomy for  colon cancer ,the application of ERAS can promote the early recovery of gastrointestinal function,shorten the length of hospital stay,reduce the level of inflammatory response,reduce the incidence of post〖LM〗operative pulmonary infection,improve patient satisfaction,and improve medical experience,which is safe and effective.

Key words: enhanced recovery after surgery, elderly patients, right hemicolectomy

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