文献类型：期刊文献

英文题名：Feasibility of Enhanced Recovery After Surgery Protocols Implemented Perioperatively in Endoscopic Submucosal Dissection for Early Gastric Cancer: A Single-Center Retrospective Study

作者：Li, Junliang[1,2,3];Kang, Guolan[4];Liu, Tianxiang[2];Liu, Zongshu[2];Guo, Tiankang[1,2,5]

第一作者：Li, Junliang;李菊莲

通信作者：Guo, TK[1]

机构：[1]Lanzhou Univ, Sch Clin Med 1, Lanzhou, Peoples R China;[2]Gansu Prov Hosp, Dept Gen Surg, Lanzhou, Peoples R China;[3]Gansu Univ Chinese Med, Sch Clin Med 1, Lanzhou, Peoples R China;[4]Gansu Prov Hosp, Dept Endoscop Ctr, Lanzhou, Peoples R China;[5]Lanzhou Univ, Sch Clin Med 1, Donggang West Rd 1, Lanzhou 730030, Gansu, Peoples R China

第一机构：Lanzhou Univ, Sch Clin Med 1, Lanzhou, Peoples R China

通信机构：[1]corresponding author), Lanzhou Univ, Sch Clin Med 1, Donggang West Rd 1, Lanzhou 730030, Gansu, Peoples R China.

年份：2023

卷号：33

期号：1

起止页码：74

外文期刊名：JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES

收录：;Scopus(收录号：2-s2.0-85145954710);WOS:【SCI-EXPANDED(收录号:WOS:000813329200001)】；

基金：This study was supported by the Natural Science Foundation of Gansu Province (Grant No. 20JR10RA372), Health Industry Research Project of Gansu Province (Grant No.GSWSKY-2019-03), National scientific research project support program of Gansu Provincial Hospital (Grant No.19SYPYB-10), Open fund project of Gansu Key Laboratory of Molecular Diagnosis and Precision Therapy of Surgical Oncology (Grant No. 2020GSZDSYS02), Non-profit Central Research Institute Fund of Chinese Academy of Medical ERAS PROTOCOLS IN ESD FOR EGC5Sciences (Grant No. NLDTG2020020), Scientific Research and Innovation Fund of Gansu University of Chinese Medicine (Grant No. 2020KCYB-7), and Longyuan Youth Innovation and Entrepreneurship Talent Project (Grant No.111266548053)

语种：英文

外文关键词：enhanced recovery after surgery; endoscopic submucosal dissection; early gastric cancer; complications

摘要：Background: Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) has advantages over traditional radical gastrectomy. We investigated whether enhanced recovery after surgery (ERAS) protocols are appropriate in the ESD perioperative period.Materials and Methods: We screened 129 consecutive patients, and 12 were excluded. All study patients underwent ESD for EGC. Of the 117 included patients, 57 received traditional perioperative care between January 2017 and December 2018, and 60 patients received perioperative care according to ERAS protocols between January 2019 and September 2020. The primary study endpoint was ESD-related complications. Secondary endpoints included the following postoperative parameters: anal exhaust time, incidence of nausea or vomiting, length of hospitalization, fever rate, abdominal pain on the visual analog scale (VAS), and reported perioperative satisfaction.Results: Complications were comparable between the 2 groups. In the ERAS group, no patients experienced delayed bleeding or perforation. One traditional group patient bled, and one perforated. Postoperative anal exhaust time, nausea or vomiting incidence, hospitalization, fever rate, and VAS pain scores were significantly lower, and perioperative satisfaction rate was significantly higher in the ERAS group.Conclusions: ERAS protocols are both feasible and safe for patients undergoing ESD. ERAS protocols enhance the advantages of ESD for EGC without increasing complications.