Application of Fast-track Program in Perioperative Period of Elderly Colorectal Cancer Patients
10.12007/j.issn.0258-4646.2016.07.012
- VernacularTitle:快速通道外科在老年结肠癌患者围手术期的应用
- Author:
Simin CHEN
;
Jie MAO
- Publication Type:Journal Article
- Keywords:
fast track surgery;
colon cancer;
elderly patient;
perioperative period
- From:
Journal of China Medical University
2016;45(7):631-634
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the application effect of fast track surgery(FTS)in the perioperative period of elderly patients with colorectal cancer. Methods A total of 153 colorectal cancer patients admitted in our hospital from March 2011 to July 2015 were chosen as the research ob?jects. Those patients were assigned to younger age group(<65 years,n=77)and older age group(≥65 years,n=76). Then,35 patients of younger age group(FTS1 group)and 37 patients of older age group(FTS2 group)were randomly selected and received FTS treatment ,and others were given traditional treatment measures(TC1 group and TC2 group). All patients underwent surgical treatment by the same experienced surgical team. The differences between the pairs of groups in different age ranges were compared with respect to the postoperative recovery index ,complica?tions,and medical costs. Results Compared with the TC1 group,the FTS1 group experienced earlier postoperative flatus,a shorter postoperative hospital stay,lower medical costs,and decreased incidence of postoperative complications(P<0.05). Compared with the TC2 group,the FTS2 group had a shorter hospital stay(P<0.05),but no significant difference in others(P>0.05). Conclusion The application of FTS can signifi?cantly improve postoperative rehabilitation,shorten hospitalization time,and decrease medical costs for<65 aged colorectal patients;However, there is no significant difference in benefits for aged patients(≥65)underwent the FTS procedure. Our results suggested that we should consider whether the FTS procedure is suitable for elderly patients with colorectal cancer cautiously.
