Clinical use of fast-track surgery in colorectal surgery
10.3760/cma.j.issn.1673-4904.2011.03.006
- VernacularTitle:快速康复外科在结直肠癌手术中的应用
- Author:
Qinzhi LIU
;
Qiyou SHEN
;
Chunxin ZHANG
;
Bin WANG
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Surgical procedures,operative;
Fast-track surgery
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(3):17-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of fast-track surgery in colorectal surgery.Methods Eighty consecutive patients with colorectal cancer admitted for colorectal surgery were divided into two groups by random digits table with 40 cases each. Group A was treated with the new concept of fasttrack surgery and group B was treated with the traditional methods of operation. The time of postoperative bowel venting and defecation,hospital stay time, the rate of complication, the rate of readmission and the total cost during hospitalization were compared. Results The time of postoperative bowel venting and defecation,hospital stay time were shorter in group A [(2.7 ± 0.9), (2.9 ± 0.1 ), (5.8 ± 1.0) d,respectively]than those in group B [( 3.9 ± 0.5 ), (4.2 ± 0.3 ), ( 8.3 ± 1.2) d, respectively] and the rate of complication and the total cost during hospitalization in group A [7.5%(3/40), ( 1.83 ± 0.22) ten thousand yuan] were lower than those in group B[27.5%(11/40), (2.35 ± 0.36) ten thousand yuan](P＜ 0.05). Conclusion The new concept of fast-track surgery can accelerate recovery after colorectal resection,reduce the rate of overall complications and total cost during hospitalization.
