Analysis of short-term recovery indicators of enhanced recovery after laparoscopic colorectal cancer surgery

Abstract

Objective This paper compared the short-term recovery indicators of laparoscopic colorectal cancer patients with enhanced recovery after surgery (ERAS) and traditional perioperative care, and analyzed the efficiency of enhanced recovery after surgery for colorectal surgery. Methods This study included 117 cases who had been diagnosed with colorectal cancer and underwent surgical treatment in our hospital during June 2015 to April 2017. The patients were randomly divided into two different groups, and both did surgery in a laparoscopic way. The enhanced recovery after surgery group took perioperative rehabilitation measures consisting of preoperative education, analgesia management, early oral feeding, early activity, and so on. On the contrary, the traditional group took care of patients in the conventional way. This study investigated indicators such as postoperative recovery time of gastrointestinal function, incidence of adverse reactions and complications , hospitalization time and expense. Results There was no significant difference between the two groups in gender (χ2=0.042, P>0.05), age (t=0.65, P>0.05), BMI (t=0.08, P>0.05), tumor location (χ2=0.41, P>0.05) and operation time (t=0.40, P>0.05).It was statistically different between traditional group and ERAS group in several aspects including postoperative hospitalization time (t=2.66, P<0.05), postoperative exhaust time (t=2.78, P<0.05), first defecation time (t=2.54, P<0.05), liquid diets time (t=6.95, P<0.05). However, there was no significant difference in total hospitalized time and cost. The number of adverse reactions in the traditional group was 28 while in ERAS group was 13. The difference between the two groups of pharyngalgia was statistically significant (χ2=9.17, P<0.05). The complications incidences of the two group had no significant difference.The postoperative hospitalization time of the rectal carcinoma patients who underwent Dixon joint terminal ileum stoma was significantly shorter than those who had Dixon only (t=2.55, P<0.05). Conclusion ERAS significantly reduces hospital stay and does not cause additional financial burden to patients. The degree of doctor-patient cooperation is increased so that the medical treatment process has been carried out smoothly.ERAS group indicates an accelerated recovery with reduced frequency of complications and adverse effects. For rectal cancer patients, Dixon joint terminal ileum stoma shortens the hospitalization time. The implementation of each link in enhanced recovery after surgery should be taken seriously. As a result, the recovery process would be completed quicker. Key words: Colorectal neoplasms; Laparoscopes; Enhanced recovery after surgery