Application of enhanced recovery after surgery in perioperative period of laparoscopic sleeve gastrectomy

Objective To explore the clinical effect of ERAS and pain management in perioperative period of laparoscopic sleeve gastrectomy. Methods A retrospective analysis was made of 300 patients who underwent laparoscopic sleeve gastrectomy in Beijing Shijitan Hospital Affiliated to Capital Medical University from Jan. 2013 to Jan. 2018. The concept of enhanced recovery after surgery(ERAS) plus pain management was adopted. Preoperative education and respiratory function training were emphasized. The incision site of gastric wall was covered by serosal muscular layer during the operation. Local infiltration anesthesia was performed at the incision site of abdominal wall during the operation. No gastric tube, urinary tube and abdomen cavity drainage tube, reasonable analgesia after operation, early feeding and activity. The differences of average hospitalization time, post-operative pain score, post-operative food intake and activity time were counted, and the advantages and problems of ERAS implementation were analyzed and discussed. Results The average hospitalization time of ERAS group was shorter[(1.5±0.8)d vs (2.7±0.8)d, P<0.05]; there were no serious complications; the NRS score of pain after ERAS group was lower than that of control group (P< 0.05); the time of activity after ERAS group was earlier and the time of bed rest was shorter. Conclusions In the perioperative measures of weight loss and metabolic surgery, ERAS can significantly shorten the hospitalization time, relieve the pain of patients after operation, and recover quickly, which is worthy of clinical promotion. Key words: Enhanced recovery after surgery; Bariatric Surgery; Perioperative management