Post-Surgical, Enhanced Recovery In Partial Hepatectomy Patients

Objective: This study was designed to explore the effects of enhanced recovery after surgery (ERAS) in the perioperative period among partial hepatectomy patients. Method: Eighty partial hepatectomy patients with liver cancer admitted to our hospital were randomly divided into a study group (SG, n=40, who underwent ERSA) and a control group (CG, n=40, who underwent conventional nursing). The postoperative recovery indicators, the pain intensity, the self-care abilities, and the incidences of complications were compared between the two groups, and the patients' and doctors' satisfaction with the nurses' performance was evaluated. Results: The recovery of bowel sound, the passage of gas through the anus, the out-of-bed activities, the lengths of the postoperative hospital stays, the pain intensity at 12 h, 24 h, and 48 h after surgery, the total incidences of complications, as well as the medical expenses were lower in the SG than they were in the CG (P < 0.05). The patients in the SG showed higher self-care abilities at 1 d, 2 d, and 3 d after surgery (P < 0.05). The patients in the SG and their physicians were more satisfied with the nursing (P < 0.05). The two groups were not statistically different in their readmission rates at 30 d after the surgery (P > 0.05). Conclusion: Among patients undergoing partial hepatectomy, ERSA helps accelerate the postoperative recovery, helps reduce the pain intensity and the incidence of complications, and helps improve the self-care abilities and nursing satisfaction among partial hepatectomy patients.