Clinical application of perioperative fast-track and nutrition support program in elderly patients with gastric cancer
10.3760/cma.j.issn.1674-635X.2010.03.003
- VernacularTitle:快速康复与营养支持在老年胃癌围手术期联合应用的临床效果
- Author:
Yun TANG
;
Xiansheng WU
;
Bo WEI
;
Lin CHEN
;
Rong LI
- Publication Type:Journal Article
- Keywords:
Fast-track surgery;
Aged;
Gastric cancer
- From:
Chinese Journal of Clinical Nutrition
2010;18(3):137-140
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effectiveness of perioperative fast-track surgery(FTS)program and nutrition support in the elderly patients with gastric cancer.Methods Totally 42 patients were equally randomized into FTS group(receiving perioperative FTS program)and control group(receiving a conventional therapy).The postoperative first defecation time,postoperative hospital stay,hospitahzation expenditure,and postoperative complications were compared between these two groups.Results The postoperative first defecation time and postoperative hospital stay were(75.4±24.3)hours and(11.2±3.2)days in FIS group and(98.0±22.6)hours and(14.4±4.6)days in control group(P=0.0165,P=0.0004;respectively).The hospitalization expenditure was significantly lower in FTS group than in control group[(3.66±0.48)×104 vs.(4.56±0.78)×104 RMB yuan;P=0.0001].The incidence of postoperative complications in FTS group was also significantly lower than that in control group(9.5% vs.28.6%,P=0.0422).Conclusion Perioperative FTS program can accelerate postoperative rehabilitation,shorten hospital stay,lower hospitalization expenditure,and reduce the incidence of postoperative complications.
