Home    中文  
 
  • Search
  • lucene Search
  • Citation
  • Fig/Tab
  • Adv Search
Just Accepted  |  Current Issue  |  Archive  |  Featured Articles  |  Most Read  |  Most Download  |  Most Cited

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (02): 195-198. doi: 10.3877/cma.j.issn.1674-3946.2021.02.021

Special Issue:

• Original Article • Previous Articles     Next Articles

Clinical study of ERAS laparoscopic assisted enlarged radical resection of right colon carcinoma

Guozhi Xu1,(), Yi Peng1, Long Chen1, Sheng Luo1, Langchao Huang1   

  1. 1. Department of Hepatobiliary and Gastrointestinal Surgery, Xinyi People's Hospital, Guangdong 525300
  • Received:2020-06-16 Online:2021-04-26 Published:2021-04-25
  • Contact: Guozhi Xu
  • Supported by:
    Guangdong Medical Research Fund Project(A2018090)

Abstract:

Objective

To observe the clinical effect of accelerated rehabilitation surgery (ERAS) laparoscopic enlarged radical resection of right colon cancer.

Methods

From January 2017 to December 2019, a total of 50 patients with advanced right colon cancer who underwent laparoscopic assisted enlarged radical resection of right colon cancer were randomly divided into ERAS group and traditional group, with 25 patients in each group . The patients were given ERAS measures and traditional treatment measures respectively during the perioperative period. SPSS 24.0 was used for clinical data analysis, Measurement data such as perioperative indicators were represented by (±s), the results were compared with t test, the statistical data of postoperative complications were tested by χ2 test. P<0.05 was considered statistically significant.

Result

The first postoperative exhaust time, first defecation time, time of getting out-of-bed time and hospitalization time in ERAS group were shorter than those in the traditional group (12% and 36.0%, respectively), and the difference above between the two groups were statistically significant (P<0.05). There were no significant difference in WBC, COR, CRP and IL-6 between the two groups one day before surgery (P>0.05), and the above 4 indexes in ERAS group were significantly lower than those in the traditional group (P<0.05). There was no significant difference in serum albumin and prealbumin levels between the two groups at admission (P>0.05). The levels of serum albumin and prealbumin in ERAS group were significantly higher than those in control group 1 day before operation and 3 days after operation (P<0.05).

Conclusion

ERAS is safety、feasible and effective in perioperative period for patients undergoing laparoscopic-assisted radical resection of right colon cancer, which can reduce the stress response of patients, reduce the incidence of postoperative complications and accelerate the early postoperative recovery of patients.

Key words: Colonic neoplasms, Laparoscopes, Treatment outcome, Enhanced recovery after surgery, Right colon cancer extended radical operation

京ICP 备07035254号-3
Copyright © Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), All Rights Reserved.
Tel: 66721881; 64049986 E-mail: zhpwkssx@126.com
Powered by Beijing Magtech Co. Ltd