Analysis Enhanced Recovery After Surgery In Laparoscopic Radical Treatment Of Hepatic Cystic Hydatid Disease

Objective: To analyze the clinical effect of laparoscopic radical treatment of hepatic cystic echinococcosis with the concept of Enhanced recovery after surgery(ERAS).Methods: The clinical data of 40 patients who received laparoscopic radical treatment for hepatic cystic echinococcosis in the Department of Hepatobiliary Echinococcosis,the First Affiliated Hospital of Xinjiang Medical University from January2014 to January 2020 were retrospectively analyzed.Forty patients with hepatic cystic echinococcosis were divided into ERAS group(n=14)and control group(n=26)according to whether ERAS was adopted or not.Outcome indicators(1)General data: age,gender,number and size of lesions;(2)Intraoperative conditions: duration of operation and amount of intraoperative blood loss;(3)Postoperative conditions: first anal exhaust time,pain score,postoperative hospital stay,hospitalization cost,drainage tube indwelling time;(4)Postoperative complications: bile leakage,pleural effusion,wound bleeding and recurrence.Results:There was no significant difference in general information and intraoperative conditions between 2 groups(P>0.05).The first postoperative anal exhaust time,postoperative pain score and the length of hospital stay in ERAS group were lower than those in control group,with statistical significance(P<0.05).There was no significant difference in postoperative drainage tube indwelling time between ERAS group and control group(P>0.05).Postoperative complications: bile leakage,pleural effusion,wound bleeding and recurrence showed no significant differences between the ERAS group and the control group(P>0.05).Conclusion: Laparoscopic radical treatment of hepatic cystic echinococcosis is a minimally invasive and safe treatment method,and it is effective to apply the concept of accelerated rehabilitation surgery for perioperative management,which is conducive to postoperative recovery without increasing postoperative complications and reducing postoperative pain.