The application study of enhanced recovery after surgery (ERAS) concept in the Totally Laparoscopic Radical Distal Gastrectomy with Delta-Shaped Gastroduodenostomy

Abstract

Objective To investigate the safety and effectiveness of the enhanced recovery after surgery (ERAS) concept in the treatment of total laparoscopic radical distal gastrectomy and Delta-Shaped Gastroduodenostomy. Methods 60 patents with distal early gastric cancer undergoing total laparoscopic radical distal gastrectomy and Delta-Shaped Gastroduodenostomy in our hospital from February 2014 to October 2017 were randomly divided into two groups. 30 patients in the ERAS group were treated with the ERAS concept for perioperative management while 30 patients in the conventional group were treated with conventional management for perioperative period. All operations were performed by the same team of surgeons. SPSS17.0 software was used for statistical analysis. The intraoperative and postoperative data were expressed by ±s and compared with independent t test. Postoperative complications were compared by the Fisher’s Exact test. P<0.05 was considered statistically significant. Results In the ERAS group, anus exhaust time after surgery, removal time of abdominal drainage tube and the length of hospital stay were all shortened. Moreover, the time of taking food after operation was significantly advanced and the hospitalization cost was reduced obviously in the ERAS group. There was a significant difference compared with the traditional group (P 0.05). Conclusion The application of ERAS concept in the treatment of total laparoscopic radical distal gastrectomy and Delta-Shaped Gastroduodenostomy is safe and effective. It can significantly shorten the postoperative hospital stay and does not increase the incidence of postoperative complications, which can enhance the recovery of patients. Key words: Stomach neoplasms; Anastomosis, surgical; Laparoscopy; Enhanced recovery after Surgery