Application of fast track surgery in elderly patients during perioperative period of laparoscopic cholecystectomy

VernacularTitle:加速康复外科在老年人腹腔镜胆囊切除术围手术期的应用分析
Author: Yong ZHANG ; Yanshan CHEN
Publication Type:Journal Article
Keywords: fast track surgery; cholecystectomy,laparoscopic; perioperative nursing; aged
From: Journal of Clinical Hepatology 2014;30(12):1295-1298
CountryChina
Language:Chinese
Abstract: Objective To investigate the safety and superiority of fast track surgery (FTS)in elderly patients during the perioperative peri-od of laparoscopic cholecystectomy (LC).Methods The clinical data of 124 elderly patients who underwent LC at the Department of Gen-eral Surgery in our institution between January 2010 and March 2014 were assessed,with 62 cases assigned to FTS group and 62 cases to conventional method group.Anal exhaust time,feeding time,off-bed activity time,and length of hospital stay were compared between the two groups,and postoperative results and adverse reactions were recorded.Continuous data were analyzed using the independent-samples t test,and categorical data were compared using the chi-square test.Results Compared with the control method group,patients in the FTS group showed earlier postoperative anal exhaust,feeding,and off-bed activity,a shorter length of hospital stay,and a lower incidence of postoperative cardiovascular and cerebrovascular complications (P<0.05).Conclusion FTS is an effective approach to accelerate rehabil-itation in elderly patients after LC.