Effects of fast-track surgery on postoperative rehabilitation of patients with liver cancer
10.3760/cma.j.issn.1673-9752.2009.04.013
- VernacularTitle:加速康复外科技术对肝肿瘤患者术后恢复的影响
- Author:
Jie HU
;
Zongjun LI
;
Jia FAN
;
Yang XU
;
Jian ZHOU
;
Yinghao SHEN
;
Yongsheng XIAO
;
Zheng WANG
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Fast-track surgery
- From:
Chinese Journal of Digestive Surgery
2009;8(4):281-283
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of fast-track surgery on postoperative rehabilitation of patients with liver cancer. Methods Forty-one patients with liver cancer who had been admitted to Zhongshan Hospital of Fudan University from 9 to 30 in July 2008 were randomly divided into fast-track surgery group (n =20) and routine treatment group (n =21) according to the random number table. Patients in fast-track surgery group were preoperatively educated in order to lessen their anxiety. Bowel preparation was not applied before operation, and they were orally administered with 1000 ml of enteral nutrition emulsion (1300 kcal), then they were fasted for 4 hours before operation. Urethral catheter and gastric tube were removed after operation. They were orally administered with 1000 ml of enteral nutrition emulsion on postoperative day 2, and were encouraged to partake in off-bed activity shortly after the operation. The off-bed time, anus exhaust time, postoperative complica-tions, hospitalization time, expense, nutritional and metabolic indexes on postoperative day 1, 3 and 5, hepatic and renal function, immune and stress indexes between the 2 groups were compared by t test and chi-square test. Results There were significant differences in off-bed time, anus exhaust time, patients' weight, expense, total bilirubin level on postoperative day 1, 3 and 5, and level of serum TNF-α on postoperative day 3 between the 2 groups (t =7.065, 5.483, 3.754, 2.291,2.289, 3.218, 3.192, 2.434, 2.089, P <0.05). Conclusions Fast-track surgery can accelerate the postoperative rehabilitation of patients with liver cancer.
