Factors Influencing Postoperative Recovery Time of Patients With Gastric Cancer

Abstract

Background: To explore the factors associated with prolonged enhanced recovery after surgery (ERAS) time in gastric cancer patients who underwent gastrectomy. Methods: This was a retrospective of patients with gastric cancer who received ERAS at our hospital between 01/2014 and 01/2022. The outcome was prolonged ERAS time. Factors associated with prolonged ERAS time of patients undergoing gastric cancer surgery were analyzed by logistic regression. Results: Among 663 patients, 182 (27.6%) patients had a prolonged ERAS time. The postoperative time to the first flatus time was 2.8 ± 1.2 days. There were 41 (6.2%) patients with intestinal obstruction, 25 (3.8%) with abdominal infection, and four (0.5%) with anastomotic leakage. The multivariable analysis showed that age >80 years (OR = 1.57, 95% CI: 1.31–4.40, P = 0.048), laparoscopic surgery (OR = 0.45, 95% CI: 0.21–0.95, P = 0.035), intraoperative jejunostomy (OR = 334.60, 95% CI: 2.81–39,831.90, P = 0.017), postoperative time to the first flatus time (OR = 3.79, 95% CI: 1.23–11.68, P = 0.021), total gastrectomy (OR = 0.08, 95% CI: 0.01–0.94, P = 0.044), and patient compliance with ERAS (OR = 0.01, 95% CI: 0–0.09, P < 0.001) were independently associated with prolonged ERAS time. Conclusions: Age >80 years, laparoscopic surgery, intraoperative jejunostomy, postoperative time to the first flatus time, total gastrectomy, and patient compliance with ERAS might be factors associated with prolonged ERAS time in gastric cancer patients.