Clinical application of fast-track surgery with Chinese medicine treatment in the devascularization operation for cirrhotic portal hypertension.
- Author:
Yang-nian WEI
1
;
Nian-feng LI
1
;
Xiao-yong CAI
2
;
Bang-yu LU
2
;
Fei HUANG
2
;
Shi-fa MO
3
;
Hong-chang ZHANG
3
;
Ming-dong WANG
1
;
Fa-sheng WU
4
Author Information
- Publication Type:Journal Article
- Keywords: Chinese medicine treatment; cirrhotic esophageal varices; fast-track surgery; portal-azygous disconnection; splenectomy
- MeSH: Adult; Aged; Anesthesia Recovery Period; Blood Loss, Surgical; Blood Transfusion; Chronic Disease; Esophageal and Gastric Varices; surgery; therapy; Female; Humans; Length of Stay; Liver Cirrhosis; complications; Male; Medicine, Chinese Traditional; Middle Aged; Operative Time; Postoperative Complications; Postoperative Period; Quality of Life; Splenectomy
- From: Chinese journal of integrative medicine 2015;21(10):784-790
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices.
METHODSSeventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group (fast-track surgery combined with Chinese medicine treatment) using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period.
RESULTSCompared with the conventional group, the fast-track group had longer operation time (253.6±46.4 min vs. 220.6±51.0 min) and anesthesia recovery time (50.5±15.9 min vs. 23.5±9.6 min; P<0.01); less bleeding (311.3±46.8 mL vs. 356.2±57.5 mL; P<0.01) and less transfusion (1932.3±106.9 mL vs. 2045.6±115.4 mL; P<0.01); as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred.
CONCLUSIONFast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.
