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Chinese Archives of General Surgery(Electronic Edition) ›› 2018, Vol. 12 ›› Issue (05): 319-323. doi: 10.3877/cma.j.issn.1674-0793.2018.05.008

Special Issue:

• Original Article • Previous Articles     Next Articles

Analysis of factors influencing the application of enhanced recovery after surgery in gastric cancer

Jun Shao1, Mingqi Su1, Jia Zhou1, Jialiang Wang1, Ying Chen2, Peng Sun1, Hui Zhang1,()   

  1. 1. Department of General Surgery, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China
    2. Department of Oncology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China
  • Received:2018-04-04 Online:2018-10-01 Published:2018-10-01
  • Contact: Hui Zhang
  • About author:
    Corresponding author: Zhang Hui, Email:

Abstract:

Objective

To analyze the factors influencing the application of enhanced recovery after surgery (ERAS) in gastric cancer with the two classification logistics regression method.

Methods

A retrospective analysis of the recovery after gastric surgeries was carried out on one hundred and eight patients who suffered from gastric malignant tumor between March 2015 and October 2016, to find out the influencing factors on ERAS for gastric cancer.

Results

The regression analysis showed that jejunostomy, TNM staging, total gastric or distal gastrectomy, postoperative exhaust time and early postoperative diet were factors influencing the rapid rehabilitation after gastric cancer surgery; the non standardized coefficiency were 5.813, -2.571, -0.944, 1.332, -5.032, the standard errors were 2.439, 1.279, 5.481, 0.575, 1.331, and P values were 0.017, 0.044, 0.049, 0.021, 0.000, respectively. Logistics regression model was established by significance test (χ2=99.96, P<0.01), and the effective rate of the model was 89.8%.

Conclusions

Whether jejunostomy is performed during the operation, TNM staging of gastric cancer, total gastric or distal gastrectomy, postoperative exhaust time and early diet may be the factors affecting the rapid recovery of gastric cancer after operation, in which intraoperative jejunostomy, early TNM staging, without total gastrectomy, postoperative early stage fast rehabilitation diet, and postoperative exhaust time are the promotion factors. Late TNM stage of gastric cancer and total gastrectomy during operation may delay rapid recovery.

Key words: Stomach neoplasms, Enhanced recovery after surgery, Logistic models, Factor analysis, statistical

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