结直肠癌同时肝转移运用快速康复理念同期切除的效果

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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.

Key words： ERAS colorectal cancer liver metastasis simultaneous resection

Received: 01 January 2017

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I8/772

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