Fast-track surgcry for cirrhotic patients with portal hypertension: a comparative study

VernacularTitle:快速康复外科理念在肝硬化门静脉高压症患者初步应用的对照研究
Author: Changqi XU ; Ali WU ; Jianlei ZHANG ; Zhe LIU
Publication Type:Journal Article
Keywords: Liver cirrhosis; Portal hypertension; Fast-track surgery; Complication
From: Chinese Journal of Hepatobiliary Surgery 2012;18(1):27-29
CountryChina
Language:Chinese
Abstract: ObjectiveTo study the effect of a fast-track surgery (FTS) program on the clinical outcomes in cirrhotic patients with portal hypertension.Methods42 cirrhotic patients with portal hypertension were randomly allocated into the FTS group (n=21) and the conventional therapy control group (n=21).The postoperative time to first defecation,hospital stay,hospitalization cost,and postoperative complications were compared between the two groups.ResultsCompared with the control group,the postoperative time to first defecation was significantly shorter in the FTS group (P=0.0287).Furthermore,the postoperative hospital stay was significantly shorter in the FTS group than the control group (P=0.002).Additionally,hospitalization cost was significantly lower in the FTS group than the control group (P＜0.001).The postoperative complication was also significantly different between the two groups (7.15 ％ vs 21.5 ％,P=0.001).ConclusionA FTS program contributed to better postoperative rehabilitation in cirrhotic patients with portal hypertension.