Application of enhanced recovery after surgery in perioperative treatment of hepatolithiasis: current status and prospect_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Xinyi , XIONG Xianze ,  CHENG Nansheng

Department of Bile Duct Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

CHENG Nansheng, Email: nanshengcheng2015@163.com

Keywords：

hepatolithiasis; enhanced recovery after surgery

DOI：

10.7507/1007-9424.201710034

Video：

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Objective To summarize contents of enhanced recovery after surgery (ERAS) and understand it’s status and prospect in application of patients with hepatolithiasis. Methods The descriptions of ERAS in recent years and applications in hepatolithiasis were reviewed. Results The ERAS programme mainly included the preoperative managements, such as the education, nutrition management, and gastrointestinal tract management; the intraoperative managements, such as the minimally invasive surgery, reasonable choice of anesthesia, infusion volume management, and maintenance of body temperature, analgesia, and preventing postoperative nausea and vomiting medication selection; the postoperative early feeding, early exercise, early extubation, multimodal analgesia, T tube management, reasonable discharge standard and follow-up management. Although the ERAS was rarely reported in patients with hepatolithiasis, it had some advantages of promoting recovery and improving patient satisfaction, and it was still effective and safe. Conclusions Application of ERAS concept in patients with hepatolithiasis has achieved precision management and individualized treatment during perioperative period. It could achieve a good short-term therapeutic effect and optimize medical management model. However, there are still some problems at the present stage in implementation and promotion of patients with hepatolithiasis, such as lacks of criteria and specifications, evidence-based medicine. It is needed to further strengthen communication and collaboration among multiple disciplinary teams so as to further improve ERAS programme and popularize it.

Citation： ZHANG Xinyi, XIONG Xianze, CHENG Nansheng. Application of enhanced recovery after surgery in perioperative treatment of hepatolithiasis: current status and prospect. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(3): 372-378. doi: 10.7507/1007-9424.201710034 Copy

1.	Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
2.	Stowers MD, Manuopangai L, Hill AG, et al. Enhanced recovery after surgery in elective hip and knee arthroplasty reduces length of hospital stay. ANZ J Surg, 2016, 86(6): 475-479.
3.	Cerantola Y, Valerio M, Persson B, et al. Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS®>) society recommendations. Clin Nutr, 2013, 32(6): 879-887.
4.	Nelson G, Altman AD, Nick A, et al. Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations-part Ⅱ. Gynecol Oncol, 2016, 140(2): 323-332.
5.	Nelson G, Altman AD, Nick A, et al. Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations-Part Ⅰ. Gynecol Oncol, 2016, 140(2): 313-322.
6.	Lassen K, Coolsen MM, Slim K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr, 2012, 31(6): 817-830.
7.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
8.	Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr, 2012, 31(6): 801-816.
9.	中华医学会外科学分会胆道外科学组. 肝胆管结石病诊断治疗指南. 中华消化外科杂志, 2007, 6(2): 156-160.
10.	Huber J, Ihrig A, Yass M, et al. Multimedia support for improving preoperative patient education: a randomized controlled trial using the example of radical prostatectomy. Ann Surg Oncol, 2013, 20(1): 15-23.
11.	Wongkietkachorn A, Wongkietkachorn N, Rhunsiri P. Preoperative needs-based education to reduce anxiety, increase satisfaction, and decrease time spent in day surgery: a randomized controlled trial. World J Surg, 2017 Sep 5. doi: 10.1007/s00268-017-4207-0.[Epub ahead of print].
12.	de Aguilar-Nascimento JE, Leal FS, Dantas DC, et al. Preoperative education in cholecystectomy in the context of a multimodal protocol of perioperative care: a randomized, controlled trial. World J Surg, 2014, 38(2): 357-362.
13.	Bozzetti F. Perioperative nutritional support in the ERAS approach. Clin Nutr, 2013, 32(5): 872-873.
14.	黎介寿. 营养与加速康复外科. 肠外与肠内营养, 2007, 14(2): 65-67.
15.	Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev, 2003, (4): CD004423.
16.	Søreide E, Ljungqvist O. Modern preoperative fasting guidelines: a summary of the present recommendations and remaining questions. Best Pract Res Clin Anaesthesiol, 2006, 20(3): 483-491.
17.	Contant CM, Hop WC, van’t Sant HP, et al. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet, 2007, 370(9605): 2112-2117.
18.	董家鸿, 田远虎. 肝胆管结石外科治疗进展. 中华普外科手术学杂志(电子版), 2012, 6(4): 340-344.
19.	Cai X, Wang Y, Yu H, et al. Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients. Surg Endosc, 2007, 21(7): 1074-1078.
20.	谭黄业, 樊献军, 肖咏梅, 等. 快速康复外科在腹腔镜胆总管探查取石术中的应用. 中国普通外科杂志, 2011, 20(2): 146-149.
21.	赵志坚, 唐才喜, 冯斌, 等. 快速康复外科理念指导下腹腔镜胆道探查术的前瞻性随机对照临床研究. 中国内镜杂志, 2013, 19(6): 575-580.
22.	Marret E, Remy C, Bonnet F, et al. Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery. Br J Surg, 2007, 94(6): 665-673.
23.	Levy BF, Scott MJ, Fawcett W, et al. Randomized clinical trial of epidural, spinal or patient-controlled analgesia for patients undergoing laparoscopic colorectal surgery. Br J Surg, 2011, 98(8): 1068-1078.
24.	Bundgaard-Nielsen M, Secher NH, Kehlet H. ‘Liberal’ vs. ‘restrictive’ perioperative fluid therapy-a critical assessment of the evidence. Acta Anaesthesiol Scand, 2009, 53(7): 843-851.
25.	Borendal Wodlin N, Nilsson L, Kjølhede P, et al. The impact of mode of anaesthesia on postoperative recovery from fast-track abdominal hysterectomy: a randomised clinical trial. BJOG, 2011, 118(3): 299-308.
26.	Knaepel A. Inadvertent perioperative hypothermia: a literature review. J Perioper Pract, 2012, 22(3): 86-90.
27.	De Witte JL, Demeyer C, Vandemaele E. Resistive-heating or forced-air warming for the prevention of redistribution hypothermia. Anesth Analg, 2010, 110(3): 829-833.
28.	White PF, Sacan O, Nuangchamnong N, et al. The relationship between patient risk factors and early versus late postoperative emetic symptoms. Anesth Analg, 2008,107(2):459-463.
29.	吴新民, 罗爱伦, 田玉科, 等. 术后恶心呕吐防治专家意见(2012). 临床麻醉学杂志, 2012, 28(4): 413-416.
30.	Lassen K, Kjaeve J, Fetveit T, et al. Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity: a randomized multicenter trial. Ann Surg, 2008, 247(5): 721-729.
31.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
32.	Nelson R, Tse B, Edwards S. Systematic review of prophylactic nasogastric decompression after abdominal operations. Br J Surg, 2005, 92(6): 673-680.
33.	Vinay HG, Raza M, Siddesh G. Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial. J Surg Tech Case Rep, 2015, 7(2): 37-41.
34.	Conway LJ, Larson EL. Guidelines to prevent catheter-associated urinary tract infection: 1980 to 2010. Heart Lung, 2012, 41(3): 271-283.
35.	Hooton TM, Bradley SF, Cardenas DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis, 2010, 50(5): 625-663.
36.	Zaouter C, Kaneva P, Carli F. Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia. Reg Anesth Pain Med, 2009, 34(6): 542-548.
37.	Bassi C, Molinari E, Malleo G, et al. Early versus late drain removal after standard pancreatic resections: results of a prospective randomized trial. Ann Surg, 2010, 252(2): 207-214.
38.	刘付宝, 毛长坤, 张志功, 等. 肝内胆管结石围手术期的快速康复治疗. 中国普通外科杂志, 2013, 22(8): 1033-1037.
39.	Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet, 2002, 359(9320): 1812-1818.
40.	Rollins KE, Lobo DN. Intraoperative goal-directed fluid therapy in elective major abdominal surgery: a meta-analysis of randomized controlled trials. Ann Surg, 2016, 263(3): 465-476.
41.	Kelm DJ, Perrin JT, Cartin-Ceba R, et al. Fluid overload in patients with severe sepsis and septic shock treated with early goal-directed therapy is associated with increased acute need for fluid-related medical interventions and hospital death. Shock, 2015, 43(1): 68-73.
42.	Bakker N, Deelder JD, Richir MC, et al. Risk of anastomotic leakage with nonsteroidal anti-inflammatory drugs within an enhanced recovery program. J Gastrointest Surg, 2016, 20(4): 776-782.
43.	Saleh F, Jackson TD, Ambrosini L, et al. Perioperative nonselective non-steroidal anti-inflammatory drugs are not associated with anastomotic leakage after colorectal surgery. J Gastrointest Surg, 2014, 18(8): 1398-1404.
44.	Klein M, Gögenur I, Rosenberg J. Postoperative use of non-steroidal anti-inflammatory drugs in patients with anastomotic leakage requiring reoperation after colorectal resection: cohort study based on prospective data. BMJ, 2012, 345: e6166.
45.	彭创, 易为民, 谭朝霞, 等. 加速康复外科理念在肝胆管结石手术治疗中应用的前瞻性随机对照研究. 肝胆胰外科杂志, 2016, 28(3): 177-180.
46.	余建中, 胡常明, 胡晓华. 快速康复外科在肝胆管结石围术期的应用. 肝胆外科杂志, 2016, 24(2): 98-101.
47.	蒋遗云, 邬林泉, 李恩亮, 等. 加速康复外科在肝切除术治疗肝胆管结石病中的应用. 中华肝胆外科杂志, 2016, 22(12): 814-818.

1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997, 78(5): 606-617.
2. Stowers MD, Manuopangai L, Hill AG, et al. Enhanced recovery after surgery in elective hip and knee arthroplasty reduces length of hospital stay. ANZ J Surg, 2016, 86(6): 475-479.
3. Cerantola Y, Valerio M, Persson B, et al. Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS®>) society recommendations. Clin Nutr, 2013, 32(6): 879-887.
4. Nelson G, Altman AD, Nick A, et al. Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations-part Ⅱ. Gynecol Oncol, 2016, 140(2): 323-332.
5. Nelson G, Altman AD, Nick A, et al. Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations-Part Ⅰ. Gynecol Oncol, 2016, 140(2): 313-322.
6. Lassen K, Coolsen MM, Slim K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr, 2012, 31(6): 817-830.
7. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
8. Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr, 2012, 31(6): 801-816.
9. 中华医学会外科学分会胆道外科学组. 肝胆管结石病诊断治疗指南. 中华消化外科杂志, 2007, 6(2): 156-160.
10. Huber J, Ihrig A, Yass M, et al. Multimedia support for improving preoperative patient education: a randomized controlled trial using the example of radical prostatectomy. Ann Surg Oncol, 2013, 20(1): 15-23.
11. Wongkietkachorn A, Wongkietkachorn N, Rhunsiri P. Preoperative needs-based education to reduce anxiety, increase satisfaction, and decrease time spent in day surgery: a randomized controlled trial. World J Surg, 2017 Sep 5. doi: 10.1007/s00268-017-4207-0.[Epub ahead of print].
12. de Aguilar-Nascimento JE, Leal FS, Dantas DC, et al. Preoperative education in cholecystectomy in the context of a multimodal protocol of perioperative care: a randomized, controlled trial. World J Surg, 2014, 38(2): 357-362.
13. Bozzetti F. Perioperative nutritional support in the ERAS approach. Clin Nutr, 2013, 32(5): 872-873.
14. 黎介寿. 营养与加速康复外科. 肠外与肠内营养, 2007, 14(2): 65-67.
15. Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev, 2003, (4): CD004423.
16. Søreide E, Ljungqvist O. Modern preoperative fasting guidelines: a summary of the present recommendations and remaining questions. Best Pract Res Clin Anaesthesiol, 2006, 20(3): 483-491.
17. Contant CM, Hop WC, van’t Sant HP, et al. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet, 2007, 370(9605): 2112-2117.
18. 董家鸿, 田远虎. 肝胆管结石外科治疗进展. 中华普外科手术学杂志(电子版), 2012, 6(4): 340-344.
19. Cai X, Wang Y, Yu H, et al. Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients. Surg Endosc, 2007, 21(7): 1074-1078.
20. 谭黄业, 樊献军, 肖咏梅, 等. 快速康复外科在腹腔镜胆总管探查取石术中的应用. 中国普通外科杂志, 2011, 20(2): 146-149.
21. 赵志坚, 唐才喜, 冯斌, 等. 快速康复外科理念指导下腹腔镜胆道探查术的前瞻性随机对照临床研究. 中国内镜杂志, 2013, 19(6): 575-580.
22. Marret E, Remy C, Bonnet F, et al. Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery. Br J Surg, 2007, 94(6): 665-673.
23. Levy BF, Scott MJ, Fawcett W, et al. Randomized clinical trial of epidural, spinal or patient-controlled analgesia for patients undergoing laparoscopic colorectal surgery. Br J Surg, 2011, 98(8): 1068-1078.
24. Bundgaard-Nielsen M, Secher NH, Kehlet H. ‘Liberal’ vs. ‘restrictive’ perioperative fluid therapy-a critical assessment of the evidence. Acta Anaesthesiol Scand, 2009, 53(7): 843-851.
25. Borendal Wodlin N, Nilsson L, Kjølhede P, et al. The impact of mode of anaesthesia on postoperative recovery from fast-track abdominal hysterectomy: a randomised clinical trial. BJOG, 2011, 118(3): 299-308.
26. Knaepel A. Inadvertent perioperative hypothermia: a literature review. J Perioper Pract, 2012, 22(3): 86-90.
27. De Witte JL, Demeyer C, Vandemaele E. Resistive-heating or forced-air warming for the prevention of redistribution hypothermia. Anesth Analg, 2010, 110(3): 829-833.
28. White PF, Sacan O, Nuangchamnong N, et al. The relationship between patient risk factors and early versus late postoperative emetic symptoms. Anesth Analg, 2008,107(2):459-463.
29. 吴新民, 罗爱伦, 田玉科, 等. 术后恶心呕吐防治专家意见(2012). 临床麻醉学杂志, 2012, 28(4): 413-416.
30. Lassen K, Kjaeve J, Fetveit T, et al. Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity: a randomized multicenter trial. Ann Surg, 2008, 247(5): 721-729.
31. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
32. Nelson R, Tse B, Edwards S. Systematic review of prophylactic nasogastric decompression after abdominal operations. Br J Surg, 2005, 92(6): 673-680.
33. Vinay HG, Raza M, Siddesh G. Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial. J Surg Tech Case Rep, 2015, 7(2): 37-41.
34. Conway LJ, Larson EL. Guidelines to prevent catheter-associated urinary tract infection: 1980 to 2010. Heart Lung, 2012, 41(3): 271-283.
35. Hooton TM, Bradley SF, Cardenas DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis, 2010, 50(5): 625-663.
36. Zaouter C, Kaneva P, Carli F. Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia. Reg Anesth Pain Med, 2009, 34(6): 542-548.
37. Bassi C, Molinari E, Malleo G, et al. Early versus late drain removal after standard pancreatic resections: results of a prospective randomized trial. Ann Surg, 2010, 252(2): 207-214.
38. 刘付宝, 毛长坤, 张志功, 等. 肝内胆管结石围手术期的快速康复治疗. 中国普通外科杂志, 2013, 22(8): 1033-1037.
39. Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet, 2002, 359(9320): 1812-1818.
40. Rollins KE, Lobo DN. Intraoperative goal-directed fluid therapy in elective major abdominal surgery: a meta-analysis of randomized controlled trials. Ann Surg, 2016, 263(3): 465-476.
41. Kelm DJ, Perrin JT, Cartin-Ceba R, et al. Fluid overload in patients with severe sepsis and septic shock treated with early goal-directed therapy is associated with increased acute need for fluid-related medical interventions and hospital death. Shock, 2015, 43(1): 68-73.
42. Bakker N, Deelder JD, Richir MC, et al. Risk of anastomotic leakage with nonsteroidal anti-inflammatory drugs within an enhanced recovery program. J Gastrointest Surg, 2016, 20(4): 776-782.
43. Saleh F, Jackson TD, Ambrosini L, et al. Perioperative nonselective non-steroidal anti-inflammatory drugs are not associated with anastomotic leakage after colorectal surgery. J Gastrointest Surg, 2014, 18(8): 1398-1404.
44. Klein M, Gögenur I, Rosenberg J. Postoperative use of non-steroidal anti-inflammatory drugs in patients with anastomotic leakage requiring reoperation after colorectal resection: cohort study based on prospective data. BMJ, 2012, 345: e6166.
45. 彭创, 易为民, 谭朝霞, 等. 加速康复外科理念在肝胆管结石手术治疗中应用的前瞻性随机对照研究. 肝胆胰外科杂志, 2016, 28(3): 177-180.
46. 余建中, 胡常明, 胡晓华. 快速康复外科在肝胆管结石围术期的应用. 肝胆外科杂志, 2016, 24(2): 98-101.
47. 蒋遗云, 邬林泉, 李恩亮, 等. 加速康复外科在肝切除术治疗肝胆管结石病中的应用. 中华肝胆外科杂志, 2016, 22(12): 814-818.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of enhanced recovery after surgery in perioperative treatment of hepatolithiasis: current status and prospect

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