Application Of ERAS In Laparoscopic Radical Resection Of Colon Cancer

Objectives With the development of enhanced recovery after surgery(ERAS),the concept has been increasingly accepted widely in the world.Present research aimed to analyze the safety and reliability of perioperative application of ERAS in patients underwent laparoscopic radical resection of colon cancer by comparing with the traditional methods.Methods One hundred patients who underwent laparoscopic surgery at the Department of Gastroenterology,Hebei General Hospital from September 2018 to October 2019 were collected.There were 53 cases in ERAS group and 47 cases in traditional group.Preoperative albumin levels,preoperative fasting blood glucose levels,albumin,postoperative fasting blood glucose levels at day 1,3,and 5,time of first postoperative venting,time of first postoperative defecation,time of first postoperative semi-liquid diet feeding,time of first postoperative out-of-bed activity,postoperative hospital stay,hospitalization cost,postoperative complications and other indicators of two groups of patients were compared and analyzed,and the advantages of ERAS were illustrated.Results There were no significant differences in gender,age,BMI,and previous basic medical history between the two groups in this study and the two groups were comparable(P>0.05,respectively).Patients in the ERAS group had less postoperative hospital stay than patients in the traditional regimen group so the difference was statistically significant(P <0.05).The time of the first postoperative semi-liquid diet feeding,the time of the first postoperative exhaustion,the time of the first postoperative defecation,and the time of the first postoperative out-of-bed activity in the ERAS group were all earlier than those in the traditional regimen group,so the differences were statistically significant(P <0.05,respectively).The hospitalization cost of patients in the ERAS group were lower than those in the traditional regimen group,and the difference was statistically significant(P <0.05).Preoperative albumin and fasting blood glucose levels of these two groups of patients were not statistically different(P> 0.05,respectively),so the data was comparable.The albumin levels at 1d,3d,and 5d after surgery in the ERAS group were higher than those in the traditional regimen group,which was statistically significant(P <0.05,respectively).The blood glucose levels at 1d,3d,and 5d after surgery of ERAS group were always lower than the other one and the difference was statistically significant(P <0.05,respectively).There were no significant statistical differences in postoperative complications between the two groups of patients(P> 0.05,respectively).Conclusions 1.Enhanced recovery after surgery is conducive to the recovery of gastrointestinal function of patients after operation;2.Enhanced recovery after surgery can improve patients' nutritional status and reduce postoperative stress response;3.Enhanced recovery after surgery can shorten the length of hospital stay for patients and reduce medical costs.Figure 0;Table 7;Reference 134...