Application Value Of Enhanced Recovery Concept In Perioperative Management Of Hepatectomy For Primary Liver Cancer

Object:To investigate the advantages of using enhanced recovery after surgery(ERAS)in perioperative management of hepatectomy for primary liver cancer.Method:According the different perioperative management measures(patients in ERAS group received the perioperative management pathway directed by the enhanced recovery after sugery concept,while those in control group underwent conventional perioperative management),eighty-one patients with hepatic cancer had been admitted to the hospital from July 2015 to October 2016 were designated to ERAS group(n=40)and control group(n=41)by the inclusion and exclusion criteria.Type of hepatectomy?the operative time?intraoperative blood loss?bowel function recovery?numerical rating scale(NRS)on postoperative24h?48h?72h?removal of abdominal drainage tube ?postoerative liver function(GPT?TBil?Pre—ALB)?postoperative complications and length of hospital stay between the two groups were compared by t test or chi-square test.Result:Compared with the control group,there were significant differences in bowel function recovery,numerical rating scale(NRS)on postoperative24 h ? 48 h ? 72 h,removal of abdominal drainage tube,liver function of POD1? POD3 and POD5,length of hospital stay(P<0.05).However,no difference was noted in type of hepatectomy,the operative time,time of clamping porta,intraoperative blood loss,blood transfusion cases,preoperative liver function and postoperative complications between the two groups(P>0.05).Conclusion:Using ERAS concept in perioperative management of liver cancer resection is safe and effective,and it can accelerate postoperative liver function? shorten length of hospital stay and accelerate the postoperative recovery of the patients.