2021 Volume 55 Issue 6 Pages 246-249
We have improved perioperative care with the ERAS protocol, and have performed perioperative management based on the ESSENSE protocol in patients undergoing resection of hepatocellular carcinoma. We examined perioperative management based on the ESSENSE protocol in 206 patients from January 2018 to December 2020. In “No drainage of peritoneal cavity” in the care plan for patients in the ESSENSE protocol, drain detention was performed in 94.2％, and in “Restart oral intake of rice gruel from the day after surgery”, only 38.7％ of the cases were able to eat more than 50％ of the food. Drain detention leads to suppression of physical activity, but in hepatectomy, there are many cases in which drain detention is necessary for intractable ascites and postoperative bile leakage, and it is necessary to accurately extract cases in which drain detention is essential. In addition, it is difficult to restart oral intake of rice gruel from the day after surgery, and it is necessary to make efforts to restart oral intake according to the patient’s willingness to eat and abdominal symptoms.
