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The purpose of this study is to investigate the clinical value of enhanced recovery after surgery protocal in laparoscopic hepatectomy by assessing its outcomes and hospital stay days comparing with traditional care .
The ERAS programs has been proved to be a useful solutions in patients undergoing colorectal surgery in terms of significantly reduced postoperative complications and shorter length of hospital stay, compared to the patients of conventional treatment.
But few studies reported about the ERAS programs in the laparoscopic hepatectomy.
The purpose of this study is to investigate the clinical value of enhanced recovery after surgery protocal in laparoscopic hepatectomy by assessing its outcomes and hospital stay days comparing with traditional care .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| enhanced recovery after surgery protocal | Active Comparator | ERAS perioperative cares patients planned to undergoing laparoscopic gastrectomy, following the ERAS protocols. |
|
| Conventional perioperative cares | Active Comparator | Conventional perioperative cares patents will be managed by our hospital's critical pathways. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERAS perioperative cares | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| post-operative hospital stay | participants will be followed for the duration of hospital stay, an expected average of 6 days | up to 4 weeks after surgery |
| Recovering Rate |
| 6 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Time to functional recovery (days from operation to functional recovery) | Normal or decreasing serum bilirubin Good pain control with oral analgesia only Tolerance of solid food No intravenous fluids Mobile independently or at the preoperative level All of the above is functional recovery. | up to 4 weeks after surgery |
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Inclusion Criteria:
If patients were diagnosed with tumors
Partial resection or half liver resection
Willingness to participate in the study
Able to understand the nature of the study and what will be required of them
Body mass index of between 18 and 35
Child-Pugh classification of A to B
American Society of Anesthesiologists (ASA) grading of I to III
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of General Surgery, Institute of Minimally Invasive Surgery, Sir Run Run Shaw Hospital | Hangzhou | Zhejiang | 310000 | China |
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| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| ID | Term |
|---|---|
| D004066 | Digestive System Diseases |
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| Conventional perioperative cares | Procedure |
|
|
| cost of hospitalization |
medical expense |
| up to 1 month after surgery |
| Quality of life | EQ-5d health questionnaire and Kolcaba's GCQ (General Comfort Questionnaire), before the operation, on postoperation 1 day, postoperation 3 day, postoperation 5 day, postoperation 1 month | up to 1 month after surgery |
| operation time | the day of surgery |
| associated cytokines in peripheral blood (IL-6, IL-10 and TNF-α) | associated cytokines in peripheral blood were tested on preoperation, postoperation Day1, postoperation Day2, postoperation Day4 | before the operation, on postoperation 1 day, postoperation 2 day, postoperation 4 day |
| liver function | liver function were tested on preoperation, postoperation Day1, postoperation Day2, postoperation Day4, postoperation 1 month if PT ≥ 50% and TB ≥ 50 μmol/L， it supports the liver dysfunction. | up to 1 month after surgery |
| Visual Analog Score for pain | postoperative 2hours, 6 hours, 1 days, 2 days, 3 days, 4 days and 5 days | up to 5 days after surgery |
| Estimated blood loss | blood loss during the operation | the day of surgery |