Perioperative standardized management under the guidance of fast track surgery in gastric cancer patients.
- Author:
Shanglong LIU
1
;
Yanbing ZHOU
Author Information
1. Department of General Surgery, Affiliated Hospital of Qingdao University, Qingdao 266003, China. zhouyanbing999@aliyun.com.
- Publication Type:Journal Article
- MeSH:
Digestive System Surgical Procedures;
Humans;
Length of Stay;
Postoperative Complications;
Postoperative Period;
Stomach Neoplasms
- From:
Chinese Journal of Gastrointestinal Surgery
2015;18(2):116-120
- CountryChina
- Language:Chinese
-
Abstract:
Fast track surgery is referred as the integration of different medical intervention actively during peri-operative period to accelerate the rehabilitation of patients undergoing operation. The propose of fast track surgery has brought about great changes in the treatment mode of many diseases, and the concept has been used in a variety of operations, especially the gastrointestinal surgery. Fast track surgery covers the preoperative appropriate preparation and assessment, sophisticated operative manipulation, and the standardization of postoperative treatment and nursing care. According to clinical trials, fast track surgery is associated with reduced post-operative complications, hospital stay and cost in patients with gastric cancer undergoing surgery. However, some problems exist in the application of fast track surgery in clinical practice, including the multidisciplinary coordination and higher readmission rates etc. A large number of evidence-based clinical trials have confirmed the efficacy of fast track, so we believe that the fast track surgery will be applied more widely.