Efficacy and safety of enhanced recovery after surgery concept combined with precise hepatectomy for the treatment of hepatocellular carcinoma / 中华普通外科杂志
Chinese Journal of General Surgery
; (12): 911-914, 2018.
Article
in Zh
| WPRIM
| ID: wpr-734772
Responsible library:
WPRO
ABSTRACT
Objective To investigate the safety and efficiency of enhanced recovery after surgery (ERAS) concept combined with precise hepatectomy (EP) in the treatment of hepatocellular carcinoma (HCC).Methods 393 HCC patients admitted to the Affiliated Provincia Hospital of Anhui Medical University were divided into group EP (n =73),precise hepatectomy group P (n =55),group ERAS (n =118) and conventional hepatectomy group C (n =147).Outcome measures were postoperative length of stay (LOS),hospital charges,postoperative complication,numerical rating scale (NRS) on postoperative 24 h,48 h,time to ambulation and first passage of flatus,readmission rate,mortality.Results Compared to group P,patients in group EP had significantly shorter postoperative LOS (F =4.573,P < 0.05),less hospital charges(F =3.090,P < 0.05),lower NRS on postoperative 24 h,48 h (F =5.235,7.456,P < 0.05),shorter time to ambulation (x2 =41.387,P < 0.05) and first passage of flatus (F =0.387,P < 0.05).Compared with the group ERAS,the group EP had significantly lower general postoperative complications (x2 =2.967,P < 0.05).Conclusion ERAS concept combined with precise hepatectomy could optimize surgical treatment of patients with hepatocellular carcinoma.
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Database:
WPRIM
Language:
Zh
Journal:
Chinese Journal of General Surgery
Year:
2018
Document type:
Article