Fast-track surgery in laparoscopic gastrectomy for gastric cancer
- VernacularTitle:在加速康复外科理念指导下的腹腔镜胃癌根治术
- Author:
Zhiwei JIANG
;
Yang BAO
;
Lei LIU
;
Qiang LENG
;
Gang WANG
;
Lifei XIE
;
Haibo HUANG
;
Nin LI
- Publication Type:Journal Article
- Keywords:
Gastric cancer;
Fast track surgery;
Laparoscopic gastectomy
- From:
Parenteral & Enteral Nutrition
2009;16(6):335-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective: The purpose of this study was to evaluate the safety and effectiveness of fast track surgery in laparoscopic gastrectomy for gastric cancer. Methods: All patients received elective gastric cancer resection, and were divided into three groups: group Ⅰ (open gastrecomy, n = 30) , group Ⅱ (open gastrecomy with fast track surgery, n = 30) , and group Ⅲ (laparoscopic gastrecomy with fast track surger-y ,n =30) . Clinical data and gut function were assessed in three groups. Results: There were no significant differences in postoperative complication and the number of lymph node harvest between 3 groups. Blood loss was less in group Ⅲ than group Ⅰ and group Ⅱ (P <0.01) ,but its operative time was longer and its cost was more than other two open surgery groups (P < 0. 01). Recovery of bowel function in group Ⅲ was faster,and postoperative hospital stay was shorter than group Ⅰ (P<0.01). However, recovery of bowel function and postoperative hospital stay in group Ⅲ was not different from group Ⅱ (P > 0. 05). Conclusion: Postoperative hospital stay can be shorter and recovery of bowel function can be faster in laparoscopic gastrectomy with fast track surgery plan compared to traditional care group. But when using fast track surgery plan, laparoscopic gastrectomy was not superior to open surgery.
