Analysis of risk factors for failure of enhanced rehabilitation surgery in patients undergoing partial hepatectomy
Objective To explore the risk factors for failure of enhanced recovery after surgery(ERAS)in partial hepatectomy.Methods A retrospective analysis was performed on 344 patients who underwent partial hepatectomy at the Division of Liver Surgery,Department of General Surgery in West China Hospital of Sichuan University from January 2019 to December 2019.All patients were treated with ERAS after partial hepatectomy.Univariate and multivariate logistic regression analysis were used to evaluate the risk factors associated with failure of the ERAS after partial hepatectomy.Results A total of 344 patients were included in the study,including 44 patients in the ERAS failure group and 300 patients in the ERAS success group.Multivariate logistic regression showed that combined with chronic diseases[OR=2.32,95％CI(1.07,4.93),P=0.03]and intraoperative fluid replacement volume ≤2 475 mL[OR=2.16,95％CI(1.06,4.42),P=0.03]were risk factors for failure of ERAS.Conclusion Chronic diseases and intraoperative fluid volume ≤2 475 mL are risk factors for the failure of ERAS after partial hepatectomy and can affect prognosis.
enhanced recovery after surgeryfailurepartial hepatectomyrisk factor
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