Research on the application of enhanced recovery after surgery in exploration of common bile duct stones

Objective To observe the safety and clinical efficacy of the application of enhanced recovery after surgery( ERAS)during exploration of common bile duct stones. Methods A total of 113 patients who received common bile duct exploration surgery from Jan 2009 to Dec 2014 enrolled in this study. 46 cases of them in ERAS group received well- organized and consecutive clinical interventions guided by ERAS while 67 patients in traditional control group received traditional perioperative management. Observe the recovery of patients in two groups in order to indentify the safety and clinical efficacy of the application of ERAS programs in biliary surgery. Results There was no significant difference on readmission rates and complications between the two groups. But the ERAS group achieved earlier flatus and defecation [( 36. 50 ± 5. 52) h vs( 39. 06 ± 5. 29) h,P = 0. 016],a reduction of costs [( 12607. 98 ± 2414. 97) RMB vs( 14207. 87 ±2714. 84) RMB,P =0. 002]and postoperative hospital stay[( 8. 87 ±2. 74) d vs( 10. 19 ±2. 54) d,P =0. 011]and an increase in pain management and recovery [34 /46( 73. 9%) vs 36 /67( 53. 7%),P = 0. 030]. Conclusion The use of ERAS programs after common bile duct exploration surgery were feasible and safe and provided high quality care,a reduction of costs and postoperative hospital stay without an increase in readmission rates and postoperative complications.