Original Article
Enhanced recovery after surgery and pain management in radical operation of rectal cancer
Weihao Li, Xingyu Feng, Junjiang Wang, Zhijian Luo, Chengzhi Huang, Sheng Li, Weixian Hu, Zejian Lyu, Jiabin Zhen, Xueqing Yao
Published 2018-04-25
Cite as Chin J Gen Surg, 2018, 33(4): 314-317. DOI: 10.3760/cma.j.issn.1007-631X.2018.04.011
Abstract
ObjectiveTo explore the clinical effect of enhanced recovery after surgery and pain management during the perioperative period in rectal cancer patients.
Methods100 rectal cancer patients after radical resection were divided into ERAS group (50 cases) and routine care group (50 cases).
ResultsCompare with the routine group, the time of ERAS group was shorter in postoperative bowel function recovery [(1.8±0.6)d vs. (3.4±0.6) d, t=-8.1, P<0.001], oral feeding[(1.3±0.6)d vs. (3.2±0.6) d, t=-10.1, P<0.001], intraperitoneal catheter drain[(3.6±0.7)d vs. (5.3±0.8) d, t=-6.7, P<0.001] and mobilization[(1.1±0.3)d vs. (2.7±0.5) d, t=-12.7, P<0.001]. ERAS group was associated with shorter hospital stay [(4.6±0.6)d vs. (6.1±0.6) d, t=-7.7, P<0.001], lower costs (P=0.014), lower pain score at the time of 6 h, 12 h, 24 h and 48 h after surgery (P<0.001). There was no significant statistical difference in postoperative complication rate 8% and 10% (P=1.000).
ConclusionsERAS management in rectal cancer patients after radical operation enhanced postoperative recovery.
Key words:
Rectal neoplasms; Pain management; Perioperative period; Enhanced recovery after surgery
Contributor Information
Weihao Li
Department of General Surgery, Guangdong General Hospital, Guangzhou 510515, China
Xingyu Feng
Junjiang Wang
Zhijian Luo
Chengzhi Huang
Sheng Li
Weixian Hu
Zejian Lyu
Jiabin Zhen
Xueqing Yao
