Prospective study of the effect of ERAS on postoperative recovery and complications in patients with gastric cancer

作     者：Ye Tian Qiang Li Yuan Pan Ye Tian;Qiang Li;Yuan Pan

作者机构：Tianjin Medical University Cancer Institute and HospitalNational Clinical Research Center for CancerKey Laboratory of Cancer Prevention and TherapyTianjinTianjin’s Clinical Research Center for CancerTianjin 300060China 

出 版 物：《Cancer Biology & Medicine》 (癌症生物学与医学（英文版）)

年 卷 期：2022年第19卷第8期

页      面：1274-1281页

核心收录：

学科分类：1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100214[医学-肿瘤学] 10[医学] 

主　　题：Enhanced recovery after surgery body mass index gastric cancer laparoscope complication 

摘      要：Objective:To study the efficacy of the enhanced recovery after surgery(ERAS)program on postoperative recovery and complications in patients with gastric ***:Eighty patients in the perioperative period with radical gastrectomy were enrolled and randomly divided into 2 groups,the ERAS group and the non-ERAS *** differences between the 2 groups in terms of postoperative recoveries and complications rate were *** to the body mass index(BMI)level,the ERAS group was divided into 2 subgroups,namely group A(BMI28 kg/m2,n=16)and group B(BMI≥28 kg/m2,n=24).The non-ERAS group was also divided into group C(BMI28 kg/m2,n=18)and group D(BMI≥28 kg/m2,n=22).The recovery and complications of each group were then ***:The postoperative length of stay and visual analogue scale pain score were less in the ERAS group than the non-ERAS group(P0.05).Time to first postoperative exhaustion,first postoperative defecation,returning leukocyte count to normal,and stopping intravenous nutrition were significantly shorter in the ERAS group(n=40),compared to the non-ERAS group(n=40,all P0.05).The incidence of postoperative lower extremity intramuscular venous thrombosis was significantly higher in group D than in group B(χ2=4.800,P=0.028).In addition,the incidence of lower extremity intermuscular venous thrombosis and lung infection in group D was higher than those in other ***:The perioperative ERAS program was associated with faster recovery in patients undergoing radical *** patients with higher BMI(BMI≥28 kg/m2),the use of the perioperative ERAS program was more advantageous.