Abstract：Objective To investigate the clinical effect of fast track surgery in simultaneous resection of colorectal cancer with synchronous liver metastasis.Methods A total of 76 patients with primary resection and liver resection treated between January 2010 and December 2016 were randomly divided into two groups: ERAS(enhanced recovery after surgery,ERAS) group and normal group. There were 38 cases in either group. ERAS nursing and routine nursing were performed respectively in the two groups. The difference between the two groups in the first exhaust time, the time taken to return to normal diet, length of hospital stay, complication rate and the readmission rate were observed.Results The first exhaust time, time taken to resume normal diet and length of hospitalization in the fast track surgery group were (3.12±1.03)days、(5.63±1.37)days and(9.20±1.36)days, compared with (4.67±1.57)days、(7.87±1.62)days and(11.36±1.74)days in the normal group. The difference was statistically significant(P<0.05).The rates of complications and readmission in the ERAS group were 4(10.5%) and 3(7.9%)respectively,compared with 3(7.9%)and 2(5.3%)in normal group.There was no significant increase between the two groups.Conclusions The application of ERAS to simultaneous resection of colorectal cancer with synchronous liver metastasis has a good clinical effect.
何双智, 金克敏. 结直肠癌同时肝转移运用快速康复理念同期切除的效果[J]. 武警医学, 2017, 28(8): 772-775.
HE Shuangzhi and JIN Kemin. Application of fast track surgery to simultaneous resection of colorectal cancer with synchronous liver metastasis. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(8): 772-775.
Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth, 1997, 78(5):606.
[2]
Dindo D, Demartines N, Clavien P A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey[J]. Ann Surg , 2004, 240(2): 205-213.
[3]
Gustafsson U O, Scott M J, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: enhanced recovery after surgery (ERAS) Society recommendations[J]. World J Surg, 2013, 37(2):259-284.
[4]
Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: enhanced recovery after surgery (ERAS(R)) Society recommendations[J]. Clin Nutr, 2012, 31: 801-816.
[5]
Aarts M A, Okrainec A, Glicksman A ,et al. Adoption of enhanced recovery after surgery (ERAS) strategies for colorectal surgery at academic teaching hospitals and impact on total length of hospital stay[J]. Surg Endosc, 2012, 26(2): 442-450.
[6]
Connor S, Cross A, Sakowska M ,et al. Effects of introducing an enhanced recovery after surgery programme for patients undergoing open hepatic resection[J]. HPB (Oxford), 2013, 15(4): 294-301.
[7]
Dunne D F, Yip V S, Jones R P ,et al. Enhanced recovery in the resection of colorectal liver metastases[J]. J Surg Oncol, 2014, 110(2): 197-202.
[8]
Ni T G, Yang H T, Zhang H ,et al. Enhanced recovery after surgery programs in patients undergoing hepatectomy: A meta-analysis[J]. World J Gastroenterol, 2015, 21(30): 9209-9216.
2017, Vol. 28 
