Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (9): 33-37.doi: 10.6040/j.issn.1671-7554.0.2018.756

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Implementation of enhanced recovery after surgery in abdominoperineal resection of rectal cancer

WANG Haifeng, WANG Gang, ZHAO Jian, LIU Jiang, ZHOU Jiahui, JIANG Zhiwei   

  1. Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, Jiangsu, China
  • Published:2022-09-27

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Abstract: Objective To explore the safety and efficacy of enhanced recovery after surgery(ERAS)for patients with rectal cancer treated with abdominoperineal resection(APR). Methods A retrospectivereview of 80 rectal cancer patients who underwent APR at Jinling Hospital during Feb. 2015 and Aug. 2017 was conducted. The patients were divided into ERAS group(n=40)and traditional group(n=40). The postoperative pain, eating time, intestinal function recovery time, ambulation time, stop intravenous infusion time, postoperative hospital stay and postoperative complication in the two groups were observed and compared. Results ERAS group had lower VAS pain score, earlier oral feeding and intestinal function recovery, shorter ambulation and intravenous infusion time, and shorter hospital stay than the traditional group. Postoperative perineal wound complication rate reached 15% in the traditional group, which was significantly higher than the 5% in the ERAS group(P=0.018). Conclusion ERAS is feasible and effective for rectal cancer patients undergoing APR, which can significantly shorten the postoperative hospital stay, and reduce the incidence of perineal wound complications.

Key words: Enhanced recovery after surgery, Rectal cancer, Abdominoperineal resection

CLC Number: 

  • R619
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