Application Effect of Fast Track Surgery for Patients with Lung Cancer：A Meta-analysis
10.3779/j.issn.1009-3419.2016.12.05
- VernacularTitle:快速康复外科在肺癌手术患者中应用效果的meta分析
- Author:
XIA YAN
1
;
CHANG SHUWEN
;
YE JINGTING
;
XUE JIN
;
SHU YUSHENG
Author Information
1. 扬州大学临床医学院
- Keywords:
Lung neoplasms;
Fast track surgery;
Lobectomy;
Video-assisted thoracoscopic surgery;
Meta-analysis
- From:
Chinese Journal of Lung Cancer
2016;19(12):827-836
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective Fast track surgery (FTS) can accelerate rehabilitation and reduce postop-erative hospital stay. It has been effectively applied to several surgical diseases. However, the safety and effectiveness of FTS for patients with lung cancer in China is unclear. hTismeta-analysis aimed to evaluate the effect of FTS undergoing lung cancer surgery in China.Methods Using home and abroad databases to search all documents required. hTe deadline of retrieval was January 31, 2016. hTen the studies were screened according to the inclusion and exclusion criteria. Data were analyzed by RevMan 5.3 sotfware.Results 8 randomized controlled trials (RCTs) and 5 clinical controlled trials (CCTs) with 1,241 pa-tients were eligible for analysis. Compared with control group, FTS group can signiifcantly shorten postoperative hospital time (MD=-3.61, 95%CI: -5.05--2.16,P<0.000,01) and chest tube duration (MD=-2.62, 95%CI: -3.07-2.17,P<0.000,01), reduce incidence of postoperative complications (OR=0.30, 95%CI: 0.19-0.47,P<0.000,01) and hospitalization costs (MD=-0.92, 95%CI: -1.19--0.65,P<0.000,01).Conclusion FTS can safely and effectively accelerate the recovery of patients with lung can-cer in China, it exhibits important clinical values.
