Meta analysis on the application of fast track surgery in gastrectomy for gastric cancer
10.3760/cma.j.issn.1007-631X.2015.10.018
- VernacularTitle:快速康复外科在胃癌手术中应用的Meta分析
- Author:
Jie DING
;
Hao WANG
;
Wenxian GUAN
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Gastrectomy;
Meta-analysis
- From:
Chinese Journal of General Surgery
2015;30(10):808-812
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the safety and efficacy of fast track surgery in gastrectomy for gastric cancer.Methods The computer retrieved databases, including Pubmed, Medline, Cochrane library and Web of science, to collect randomized controlled trials (RCT) or controlled clinical trials (CCTS) on FTS was used in gastrectomy for gastric cancer between January 1994 and march 2014, and manual retrieval in Google.Using RevMan5.0 software analysis data that extract from collect literature.Results A total of five RCTs and two CCTs, involving 636 patients,were included, there were 309 cases in experimental group (FTS group) and 327 cases in control group.Meta-analysis showed: the FTS group had earlier postoperative flatus [WMD =-18.74, 95％ CI (-34.31,-3.17), P ＜ 0.05], shorter postoperative hospital stay [WMD =-2.46, 95％ CI (-3.75,-1.17), P=0.000 2], and lower hospital charge [SMD =-0.67, 95％ CI (-1.00,-0.34), P ＜ 0.000 1].However, there were no statistically significant differences in operation time, intraoperative blood loss, the number of retrieved lymph node intraoperative, the time of catheter removal and postoperative complication rate (P ＞ 0.05).Conclusion FTS in gastrectomy for gastric cancer can promote postoperative bowel function recovery, decrease postoperative hospital stay and reduce hospital charge.
