Effect of enhanced recovery after surgery concept of anesthesia management on perioperative stress responses in patients undergoing laparoscopic rectal cancer surgery
Objective To observe the effect of enhanced recovery after surgery(ERAS)concept of anesthesia management on perioperative stress response in the patients undergoing laparoscopic rectal cancer surgery.Methods Seventy-two patients undergoing laparoscopic rectal cancer surgery were randomly divided into two groups with 36 cases each.ERAS concept of anesthesia management was given in group A and conventional anesthesia management was given in group B.The quality of anesthesia management,perioperative stress response indicators,including serum levels of CRP,IL-6,TNF-α and adrenocorticotropic hormone(ACTH),and other perioperative indicators were compared between the two groups.The occurrence of postoperative complications was observed.Results Compared with group B,serum levels of CRP,IL-6,TNF-α and ACTH were decreased in group A after operation(P＜0.01).Compared with group B,group A had a higher postoperative body temperature,lower VAS pain score,and shorter times of temperature recovery,operating room transfer,hospital stay,gastric tube indentation,postoperative exhaust,postoperative urinary tube indentation and postoperative fasting(P＜0.01).The incidence of postoperative complications in group A was lower than that in group B(5.56％vs.25.00％)(P＜0.05).Conclusion ERAS concept of anesthesia management can reduce perioperative stress responses,improve the quality of anesthesia management and reduce the postoperative complications in the patients undergoing laparoscopic rectal cancer surgery.
Enhanced recovery after surgeryAnesthesia managementLaparoscopic rectal cancer surgery
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