| Objectives: The aim of this study was to evaluate the effects of implementing an enhanced recovery after surgery(ERAS)program for patients undergoing left hemihepatectomy for left-sided hepatolithiasis.Methods: Patients with hepatolithiasis undergoing left hemihepatectomy between December 2015 and September 2017 were included.According to different methods of perioperative management,all cases were assigned into ERAS group(n=46),C group(n=46).Data were collected on clinicopathological factors and intraoperative and postoperative data.Results:Ninety-two patients underwent left hemihepatectomy during the study period.The median postoperative hospital stay was 8.72±1.38 days in the ERAS group,which was significantly shorter than that in the control group(12.04±1.66 days;P<0.05).In the ERAS group,inflammatory markers,alanine aminotransferase enzyme and total bilirubin were significantly lower than the control group(P<0.05).Postoperative serum concentrations of albumin were significantly higher in the ERAS group than in the control group(P<0.05).There were no significant differences in hepatectomy-related complications and the rate of readmission between the 2 groups.Conclusions: Enhanced recovery after surgery in patients undergoing left hemihepatectomy for left hepatolithiasis is safe and effective.It could accelerate the patient's rehabilitation process. |
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