Application of enhanced recovery after surgery following liver transplantation

World Journal of Surgical Oncology

Research

Xiulian Wu¹  Yanmei Gu¹  Boxun Jin¹  Shuangmei Xi¹  Guangming Li¹  Xin Liu¹ 

[1] Department of Intensive Care Unit, Beijing Youan Hospital, Capital Medical University, No. 8 Yoanmenwai Xitoutiao, 100069, Beijing, China;

关键词: Liver transplantation;    Enhanced recovery after surgery;    Liver cancer;    Liver failure;    Liver cirrhosis;   

DOI  :  10.1186/s12957-023-03139-x

 received in 2023-04-04, accepted in 2023-08-08,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveTo investigate the effect of an enhanced recovery after surgery (ERAS) programme following liver transplantation and to further clarify the safety and clinical application value of an ERAS programme.MethodsA retrospective analysis of 250 patients who underwent liver transplant at Beijing You’an Hospital affiliated to Capital Medical University between March 2019 and December 2021 was conducted. According to different perioperative management methods, patients were divided into a control group (120 cases) and an ERAS group (130 cases). Postoperative safety indicators, efficacy indicators and economic indicators were compared between the two groups.ResultsThere was no significant difference in the safety indicators between the two groups. The ERAS group showed significantly lower results compared with the control group in terms of ventilator-associated pneumonia, urinary tract infection, pressure injury of oral and nasal mucosa, postoperative pain score 5 days after surgery and the incidence of delirium, whereas the Barthel score 10 days after surgery was significantly higher. There was no significant difference between the two groups in skin pressure injury or the Subjective Global Assessment grade 10 days after surgery. The length of intensive care unit stay, the total length of stay after surgery and the 10-day medical expenses after surgery were significantly lower in the ERAS group than in the control group.ConclusionThe application of an ERAS programme after liver transplantation can effectively promote the postoperative recovery of patients and reduce medical costs. Studies have shown that the ERAS programme has important application value in improving the postoperative quality of life and reducing the economic burden of patients after liver transplantation. This programme provides a new concept for related clinical improvement and application.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 1

Fig. 4