Liver Cancer,Intrahepatic lithiasis.
Conditions
Interventions
Control group:Traditional perioperative management group
ERAS Group:ERAS protocol for hepatobiliary surgery
Sponsors
Guizhou Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Preoperatively diagnosed clearly and eligible for elective laparoscopic liver resection under general anesthesia. 2. Good liver function: Child-Pugh grade A or B (partially), and ALT/AST = 18.5, albumin >= 30g/L), and preoperative prognostic nutritional index (PNI) < 50%. 5. Normal gastrointestinal function preoperatively and stable vital signs postoperatively. 6. Age 18-75 years, gender unrestricted. 7. Understanding the content of the informed consent form, voluntarily participating in this study, signing the informed consent form, and able to cooperate with postoperative follow-up.
Exclusion criteria
Exclusion criteria: 1. Refusal to participate in this study; 2. Pregnant or lactating women; 3. Patients undergoing emergency surgery or combined with other organ removal surgeries; 4. More than 1000ml of blood loss during the operation; 5. Conversion to open surgery during the operation; 6. Transfer to the intensive care unit after the operation; 7. Previous history of complex upper abdominal surgeries. 8. Previous history of anaphylaxis to local anesthetics or other anesthetic drugs; 9. Compromised coagulation function, heart failure, respiratory failure, uncontrolled hypertension, diabetes, history of peptic ulcer or gastrointestinal bleeding, renal dysfunction or immunosuppressive agent status; 10. Patients with chronic pain and mental disorders, those who have been using sedatives and analgesics for a long time before the surgery, or those who have used antipsychotic drugs recently, alcoholics or drug abusers; 11. Unable to provide written materials; 11. Unable to understand written or spoken language, patients who were unable to communicate due to coma, severe dementia or language disorders before the operation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The NRS scale after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative intestinal function recovery time;The usage of opioid drugs 72 hours after surgery; | — |
Countries
China
Contacts
Public ContactKaiyun Fang
Guizhou Provincial People's Hospital
Outcome results
None listed