Cargando…

Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy

AIM: To evaluate the safety and feasibility of enhanced recovery after surgery (ERAS) for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy. METHODS: The clinical data of 42 patients who were divided into an ERAS group (n = 20) and a control group (n = 22) were collected....

Descripción completa

Detalles Bibliográficos
Autores principales: Zang, Yi-Feng, Li, Feng-Zhou, Ji, Zhi-Peng, Ding, Yin-Lu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787785/
https://www.ncbi.nlm.nih.gov/pubmed/29398871
http://dx.doi.org/10.3748/wjg.v24.i4.504
_version_ 1783295999966445568
author Zang, Yi-Feng
Li, Feng-Zhou
Ji, Zhi-Peng
Ding, Yin-Lu
author_facet Zang, Yi-Feng
Li, Feng-Zhou
Ji, Zhi-Peng
Ding, Yin-Lu
author_sort Zang, Yi-Feng
collection PubMed
description AIM: To evaluate the safety and feasibility of enhanced recovery after surgery (ERAS) for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy. METHODS: The clinical data of 42 patients who were divided into an ERAS group (n = 20) and a control group (n = 22) were collected. The observed indicators included operation conditions, postoperative clinical indexes, and postoperative serum stress indexes. Measurement data following a normal distribution are presented as mean ± SD and were analyzed by t-test. Count data were analyzed by χ(2) test. RESULTS: The operative time, volume of intraoperative blood loss, and number of patients with conversion to open surgery were not significantly different between the two groups. Postoperative clinical indexes, including the time to initial anal exhaust, time to initial liquid diet intake, time to out-of-bed activity, and duration of hospital stay of patients without complications, were significantly different between the two groups (t = 2.045, 8.685, 2.580, and 4.650, respectively, P < 0.05 for all). However, the time to initial defecation, time to abdominal drainage-tube removal, and the early postoperative complications were not significantly different between the two groups. Regarding postoperative complications, on the first and third days after the operation, the white blood cell count (WBC) and C reactive protein (CRP) and interleukin-6 (IL-6) levels in the ERAS group were significantly lower than those in the control group. CONCLUSION: The perioperative ERAS program for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy is safe and effective and should be popularized. Additionally, this program can also reduce the duration of hospital stay and improve the degree of comfort and satisfaction of patients.
format Online
Article
Text
id pubmed-5787785
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-57877852018-02-02 Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy Zang, Yi-Feng Li, Feng-Zhou Ji, Zhi-Peng Ding, Yin-Lu World J Gastroenterol Clinical Trials Study AIM: To evaluate the safety and feasibility of enhanced recovery after surgery (ERAS) for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy. METHODS: The clinical data of 42 patients who were divided into an ERAS group (n = 20) and a control group (n = 22) were collected. The observed indicators included operation conditions, postoperative clinical indexes, and postoperative serum stress indexes. Measurement data following a normal distribution are presented as mean ± SD and were analyzed by t-test. Count data were analyzed by χ(2) test. RESULTS: The operative time, volume of intraoperative blood loss, and number of patients with conversion to open surgery were not significantly different between the two groups. Postoperative clinical indexes, including the time to initial anal exhaust, time to initial liquid diet intake, time to out-of-bed activity, and duration of hospital stay of patients without complications, were significantly different between the two groups (t = 2.045, 8.685, 2.580, and 4.650, respectively, P < 0.05 for all). However, the time to initial defecation, time to abdominal drainage-tube removal, and the early postoperative complications were not significantly different between the two groups. Regarding postoperative complications, on the first and third days after the operation, the white blood cell count (WBC) and C reactive protein (CRP) and interleukin-6 (IL-6) levels in the ERAS group were significantly lower than those in the control group. CONCLUSION: The perioperative ERAS program for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy is safe and effective and should be popularized. Additionally, this program can also reduce the duration of hospital stay and improve the degree of comfort and satisfaction of patients. Baishideng Publishing Group Inc 2018-01-28 2018-01-28 /pmc/articles/PMC5787785/ /pubmed/29398871 http://dx.doi.org/10.3748/wjg.v24.i4.504 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Clinical Trials Study
Zang, Yi-Feng
Li, Feng-Zhou
Ji, Zhi-Peng
Ding, Yin-Lu
Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy
title Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy
title_full Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy
title_fullStr Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy
title_full_unstemmed Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy
title_short Application value of enhanced recovery after surgery for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy
title_sort application value of enhanced recovery after surgery for total laparoscopic uncut roux-en-y gastrojejunostomy after distal gastrectomy
topic Clinical Trials Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787785/
https://www.ncbi.nlm.nih.gov/pubmed/29398871
http://dx.doi.org/10.3748/wjg.v24.i4.504
work_keys_str_mv AT zangyifeng applicationvalueofenhancedrecoveryaftersurgeryfortotallaparoscopicuncutrouxenygastrojejunostomyafterdistalgastrectomy
AT lifengzhou applicationvalueofenhancedrecoveryaftersurgeryfortotallaparoscopicuncutrouxenygastrojejunostomyafterdistalgastrectomy
AT jizhipeng applicationvalueofenhancedrecoveryaftersurgeryfortotallaparoscopicuncutrouxenygastrojejunostomyafterdistalgastrectomy
AT dingyinlu applicationvalueofenhancedrecoveryaftersurgeryfortotallaparoscopicuncutrouxenygastrojejunostomyafterdistalgastrectomy