RESULTS OF APPLICATION OF ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL IN LAPAROSCOPIC GASTRIC CANCER SURGERY AT NGHE AN GENERAL FRIENDSHIP HOSPITAL

Văn Thủy Nguyễn1,, Văn Chiến Nguyễn1, Đình Khoa Đặng1, Huy Toàn Nguyễn1, Văn Hương Nguyễn1,2, Văn Duyệt Phạm2,3
1 NGHE AN FRIENDSHIP GENERAL HOSPITAL
2 Hai Phong University Of Medicine And Pharmacy
3 Hai Phong Medical University Hospital

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Abstract

Objectives: To evaluate the results of application of enhance recovery after surgery (ERAS) protocols in laparoscopic surgery for gastric cancer treatment at Nghe An General Friendship Hospital. Subjects and methods: A retrospective descriptive study of 83 patients diagnosed with gastric cancer and treated with laparoscopic surgery at Nghe An General Friendship Hospital from February 2021 to July 2022. Results: The mean age of patients were 67.9 ± 9.5 years (46-89), 62.7% were male and 37.3% were female. The average Body mass index (BMI) was 18.98 ± 2.05 (15.5 - 25.5) kg/m2. 56.6% patients were classified as ASA II and 28.9% patients were classified as ASA III. The average surgical time was 157 ± 39.78 (90-240) minutes. The overall compliance rate for the interventions was 69.9%. In which, each intervention had a different compliance rate. The average VAS scores of 4 days were all < 4 points. The more ERAS interventions performed, the shorter the recovery time for intestinal motility and the hospital stay. The rate of postoperative complications was 16.9%, of which pneumonia was the main cause. The hospital stay in the group of patients with complications was longer than the group without complications (p<0.05). Conclusions: The application of Enhanced recovery after gastric cancer surgery was a safe method, contributing to reducing complications and improving treatment efficiency.

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References

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