Research On The Application Of Enhanced Recovery After Surgery In The Perioperative Period For Laparoscopic Hepatectomy

Objective:To explore the feasibility,safety and effectiveness of enhanced recovery after surgery in perioperative period of laparoscopic hepatectomy.Provide more evidence-based medical evidence for the development of guidelines for enhanced recovery after surgery.Methods:Patients admitted to the department of hepatobiliary surgery in our hospital from September 2017 to September 2019 who needed laparoscopic hepatectomy were randomly divided into ERAS group(n=30)and control group(n=30),The concept of traditional surgical nursing was adopted in the control group,and the concept of ERAS was adopted in the experimental group.Preoperative clinical data,operation time,intraoperative blood loss,postoperative extubation time,first exhaust time,defecation time,postoperative hospital stay and postoperative complications were compared between the two groups.Results;The general clinical data of the two groups of patients showed no significant difference(all P > 0.05).There was no significant difference in operative duration,intraoperative blood loss and postoperative complication rate between the ERAS group and the control group(all P > 0.05).However,the first postoperative exhaust time,defecation time,postoperative drainage tube removal time and postoperative hospital stay in the ERAS group were all better than the control group(all P < 0.05).The biochemical indexes of ALT,ALB and c-reactive albumin in the blood of the ERAS group on the first day after surgery were better than the control group,and there were significant differences between the two groups(P >,0.05).Conclusion;The concept of ERAS is feasible,safe and effective in the perioperative period of laparoscopic hepatectomy,Without increasing postoperative complications,It can not only promote the recovery of gastrointestinal function,but also shorten the length of hospital stay and promote the early recovery of patients.