关键词: 围手术期, 快速康复外科, 右半肝切除术

Abstract: Objective To explore the clinical value of enhanced recovery after surgery nuring in right hepatectomy. Methods Analysis from August 2017 to August 2019 were right liver resection in our hospital clinical data of 53 patients, according to different perioperative treatment methods, they were divided into the ERAS group and the control group. Preoperative and intraoperative clinical data were compared between the two groups, as well as postoperative hospital stay, anal exhaust recovery time, total hospitalization costs, complications, postoperative recovery quality and CRP. Results The preoperative clinical data of the two groups of patients were comparable without statistically significant difference. There was no significant difference between the two groups in terms of operation time and intraoperative blood loss. There were significant differences between the two groups in terms of anal recovery and exhaust time, postoperative hospitalization time, total hospitalization cost and complications （t=3.728, 9.599, 5.666, χ²=3.865, P values <0.05）. The ERAS group had a higher recovery quality score after surgery than the control group （P<0.05）, and the similar value in the ERAS group had lower values than the latter in terms of CRP （P<0.05）. Conclusion In the perioperative period of right hepatectomy, the accelerated rehabilitation surgery mode can effectively shorten the length of hospital stay, reduce hospitalization costs, postoperative complications and postoperative traumatic stress response, thus promoting rapid recovery of patients.

Key words: right hepatectomy, enhanced recovery after surgery, perioperative period