Fast track surgery in laparoscopic liver resection
10.3760/cma.j.issn.1007-631X.2018.08.004
- VernacularTitle:快速康复外科理念在腹腔镜肝切除术中的应用
- Author:
Guolin HE
1
;
He HONG
;
Yuan CHENG
;
Zesheng JIANG
;
Chenjie ZHOU
;
Haiyan LIU
;
Yi GAO
;
Mingxin PAN
Author Information
1. 南方医科大学珠江医院肝胆二科
- Keywords:
Hospitals,convalescent;
Hepatectomy;
Laparoscopes;
Postoperative complications
- From:
Chinese Journal of General Surgery
2018;33(8):635-637
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of fast track surgery (FTS) in laparoscopic hepatectomy.Methods The clinical data of 142 patients undergoing laparoscopic liver resection from January 2014 to January 2016 were analyzed retrospectively.74 patients received fast track surgery treatment (FTS group) and 68 patients received traditional treatment methods (control group).Results Compared with control group,FTS group had a shorter operative time and less blood lose (t =2.279,t =2.432,P ＜0.05),quicker postoperative intestinal function recovery (t =3.548,P ＜ 0.05),a shorter postoperative hospitalization time (t =2.821,P ＜ 0.05),a lower hospitalization cost (t =2.507,P ＜ 0.05),a lower postoperative VAS scores (t =3.394,t =3.176,t =7.079,P ＜ 0.05) in 3 post-op successive days.There were 3 patients with major post-op complications in FTS group (4.05％,3/74) compared with 4 cases in control group (5.88％,4/68) (x2 =0.253,P ＞ 0.05).Conclusion The application of fast track surgery in laparoscopic liver resection is safe and effective,and helpful in reducing patients' inhospital cost.
