The Application Of Enhanced Recovery After Surgery In Resection Of Colorectal Ancer

Objective:To compare the clinical programs in radical resection of colorectal cancer who with different programs in perioperative period,we want to explore the safety,feasibility and economy of enhanced revocery after surgery(ERAS)for colorectal cancer who will accepting operation.Methods:Collection of The first affiliated Hospital of Shihezi University Medical College gastrointestinal breast surgery in July 2017 to February 2019 colorectal cancer patients,according to the different surgical methods,patients were divided into open surgery group and laparoscopic surgery group.According to the different perioperative treatment,patients were semi random divided into ERAS group and traditional treatment group observe different group within 30 days of postoperative patients with nausea,vomiting and abdominal distention related indexes such as what is happening.SPSS22.0 was used for data analysis.Two independent sample t tests were used for measurement data conforming to normal distribution,rank sum test was used for non-normal distribution,and chi-square test was used for counting data.P<0.05 was considered statistically significant.Results: a total of 72 patients were collected in the open surgery group,including 34 patients of ERAS group,aged 37-75 years old,with an average age of(60.42 10.61 years old),13 patients with colon cancer and 21 patients with rectal cancer.In the traditional treatment group,38 patients were aged 43-75 years,with an average age of 60.15 11.00 years,including 13 cases of colon cancer and 25 cases of rectal cancer.There was no significant difference in age,gender,tumor growth site and surgical method among the patients(P>0.05).Compared with the traditional group,the time of first exhaust and defecation was earlier in the ERAS group,the total hospitalization time was shortened,and the hospitalization cost was reduced,the difference was statistically significant(P<0.05).The incidence of postoperative nausea and vomiting was lower than that of the traditional group,and the difference was statistically significant(P<0.05).There was no significant difference in the rates of abdominal distension,lung infection and other complications between the two groups(P>0.05).In the experiment,there was no death or wound dehiscence.Laparoscopic surgery group: a total of 60 patients were collected,30 patients in ERAS group,aged 34-75 years old,with an average(56.37 2.01)years old,including 19 cases of colon cancer and 11 cases of rectal cancer.30 patients in the traditional treatment group were aged between 35 and 71 years,with an average age of 55.47 2.01 years,including 16 cases of colon cancer and 14 cases of rectal cancer.There was no significant difference in the above data(P>0.05).ERAS group: the time of the first postoperative exhaust was advanced,and the difference was statistically significant(P<0.05).Hospitalization cost and length of stay were significantly reduced compared with the traditional group(P<0.05).Postoperative complications were compared between the two groups.The incidence of postoperative vomiting and abdominal distension in the ERAS group was decreased,and the difference was statistically significant(P <0.05),while the difference in other experimental indexes was not statistically significant(P>0.05).In the experiment,there was no death or wound dehiscence,and the patient was cured and discharged.Conclusion:(1)ERAS regimen can promote the rapid recovery of gastrointestinal function after operation,and the incidence of postoperative complications is not significantly increased(P > 0.05).It is safe and effective for colorectal cancer surgery.(2)ERAS scheme has obvious advantages in reducing hospitalization time and hospitalization cost,and has better social and economic benefits.