Promotion of postoperative recovery with fast track surgery for gastric cancer patients undergoing gastrectomy: a prospective randomized controlled study.
- Author:
Gongping WANG
1
;
Yantong YANG
;
Bo ZHOU
;
Ye CHEN
;
Canhui JIN
;
Zengfang WANG
;
Zhenzhen WANG
;
Wei ZHANG
;
Xiaoshan FENG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Female; Gastrectomy; Humans; Male; Middle Aged; Perioperative Care; Postoperative Complications; prevention & control; Prospective Studies; Stomach Neoplasms; surgery; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2014;17(5):489-491
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the safety and feasibility of fast track surgery (FTS) in the promotion of postoperative recovery for gastric cancer patients undergoing gastrectomy.
METHODSFrom January to December in 2013, 71 gastric cancer patients were prospectively enrolled and randomized into the FTS group and the control group. Patient in the FTS group received FTS management and those in the control group received routine management. The postoperative recovery and stress were compared between the two groups.
RESULTSFTS was associated with shorter time to bowel function return [(67.8±19.7) h vs. (90.0±20.6) h, P<0.01], shorter hospital stay [(13.5±3.0) d vs. (17.8±7.3) d, P=0.01], lower hospital cost [(23.8±3.7) thousand Yuan vs. (27.8±6.1) thousand Yuan, P<0.05], and less stress response (lower pain score, WBC count, C-reactive protein, all P<0.01). The postoperative complications including ileus, infection, anastomotic leakage were similar (all P>0.05).
CONCLUSIONFast track surgery decreases postoperative stress response and promotes recovery.
