{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:53:40Z","timestamp":1773269620943,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T00:00:00Z","timestamp":1647216000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Healthcare Engineering"],"published-print":{"date-parts":[[2022,3,14]]},"abstract":"<jats:p>To explore the clinical effects of total laparoscopic radical gastrectomy under the guidance of the concept of enhanced recovery after surgery (ERAS). Fifty-five patients were perioperatively treated under the concept of ERAS (ERAS group), while the remaining 55 patients were treated under the traditional perioperative concept (control group). The operation time, intraoperative blood loss, the time of first anal exhaust and first postoperative off-bed activity, postoperative length of stay, and incidence of postoperative complications were recorded in both groups. The pain of patients was assessed using VAS system. The nausea and vomiting and abdominal distension were assessed using the NVDS and abdominal distension score, respectively, within 24\u2009h after operation. The patient\u2019s daily living ability was evaluated by the ADL scale at 3\u2009d after the operation. The time of first anal exhaust, the time of first postoperative off-bed activity time, and the postoperative in-hospital time were all significantly shorter in the ERAS group than those in the control group (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                     <\/a:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.001). The VAS score in the ERAS group was significantly lower than that in the control group at 12\u2009h, 24\u2009h, 48\u2009h, and 72\u2009h after operation (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                     <\/c:math>\n                  <\/jats:inline-formula>\u2009&lt;\u2009.001). The ERAS group had significantly lower NVDS score and abdominal distension score than the control group (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                     <\/e:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.001). The postoperative ADL score in the ERAS group was significantly higher than that in the control group (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                     <\/g:math>\n                  <\/jats:inline-formula>\u2009&lt;\u20090.001). ERAS during the perioperative period of total laparoscopic radical gastrectomy can promote the postoperative rehabilitation of patients and alleviate postoperative pain and gastrointestinal reactions, which is safe and effective.<\/jats:p>","DOI":"10.1155\/2022\/5390182","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T22:35:21Z","timestamp":1647297321000},"page":"1-5","source":"Crossref","is-referenced-by-count":2,"title":["Application of the Concept of Enhanced Recovery after Surgery in Total Laparoscopic Radical Gastrectomy"],"prefix":"10.1155","volume":"2022","author":[{"given":"Wei","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Heji Hospital Affiliated to Changzhi Medical College, Changzhi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenyuan","family":"Li","sequence":"additional","affiliation":[{"name":"Graduate School, Changzhi Medical College, Changzhi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianghuang","family":"Mei","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Heji Hospital Affiliated to Changzhi Medical College, Changzhi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yangyang","family":"Wang","sequence":"additional","affiliation":[{"name":"Graduate School, Changzhi Medical College, Changzhi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhipeng","family":"He","sequence":"additional","affiliation":[{"name":"Graduate School, Changzhi Medical College, Changzhi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi","family":"Su","sequence":"additional","affiliation":[{"name":"Graduate School, Changzhi Medical College, Changzhi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianhong","family":"Dong","sequence":"additional","affiliation":[{"name":"Digestive Minimally Invasive Surgery, Shanxi Cancer Hospital, Taiyuan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3698-3005","authenticated-orcid":true,"given":"Liping","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Dermatology, the First Affiliated Hospital of Soochow University, Suzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/cej.0000000000000480"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.4314\/tjpr.v19i3.7"},{"issue":"9","key":"3","first-page":"e34","article-title":"Incidence and prognostic significance of signet ring cell histology in gastric cancer: a cross-sectional study in Turkey","volume":"22","author":"O. 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