Preoperative Enteral Nutritional Support in Patients Undergoing Hepatectomy for Hepatocellular Carcinoma: A Strengthening the Reporting of Observational Studies in Epidemiology Article.
作者： Hui Yao , Xiaojie Bian , Liang Mao , Xuejian Zi , Xiaopeng Yan
DOI: 10.1097/MD.0000000000002006
关键词: Parenteral nutrition 、 Preoperative care 、 Clinical endpoint 、 Enteral administration 、 Medicine 、 Retrospective cohort study 、 Gastrointestinal function 、 Surgery 、 Incidence (epidemiology) 、 Hepatectomy
摘要: To compare the short-term outcomes between hepatocellular carcinoma (HCC) patients with and those without preoperative nutrition on basis of postoperative enteral nutrition.HCC who underwent liver resection February 2010 December 2014 in Nanjing Drum Tower Hospital were considered for study: 43 36 nutrition. Primary endpoint was incidence overall complications. Secondary endpoints infectious major complications.In group, shorter length hospital stay (10.5 ± 2.7 versus 13.7 ± 6.3 days, P = 0.007), less exogenous albumin infusion (10.2 ± 22.4 47.8 ± 97.7 g, P = 0.030), earlier first exhaust time (2.7 ± 0.8 3.0 ± 0.9 P = 0.043), defection (3.5 ± 0.9 4.4 ± 1.4 P = 0.001) observed. No significant differences observed complications (32.6% 52.8%, P = 0.070), (7.0% 8.3%, P = 1), (14.0% 11.1%, P = 0.969) control group.Preoperative could improve HCC via accelerating recovery gastrointestinal function shortening stay.
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