The influence of fast tract surgery on postoperative recovery and stress reaction for hepatectomy
10.3760/cma.j.issn.1007-8118.2019.03.002
- VernacularTitle:快速康复外科理念对肝切除术患者康复及应激的影响
- Author:
Yulun CAO
1
;
Guolin HE
;
He HONG
;
Lei CAI
;
Yuan CHENG
;
Zesheng JIANG
;
Yi GAO
;
Mingxin PAN
Author Information
1. 南方医科大学珠江医院肝胆二科
- Keywords:
Hepatectomy;
Stress;
Postoperative complications;
Fast track surgery
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(3):164-167
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effects of rapid rehabilitation surgical procedures on recovery and stress response in patients undergoing hepatectomy.Methods Retrospective analysis of 60 patients with liver resection in Zhujiang Hospital of Southern Medical University from January 2012 to December 2015,40 males and 20 females.According to the rehabilitation method,it was divided into intervention group (n=30) and control group (n=30).The operation time,intraoperative blood loss,postoperative complications,and interleukin-6 (IL-6),C-reactive protein (CRP),and white blood cell count (WBC) on days 1st,3rd,and 5 th before and after surgery were compared between the two groups.Results Both groups completed the operation successfully.There was no significant difference in intraoperative blood loss and operation time between the two groups (P＞0.05).The duration of postoperative ventilation and postoperative hospitalization in the intervention group was less than that in the control group,and the incidence of postoperative complications (23.3％ vs.50.0％) and the first and second day after surgery were lower than those in the control group,with statistically significant differences (P＜0.05).On the first,third and fifth days after surgery,IL-6 and CRP in the intervention group were lower than those in the control group,respectively (64.96± 24.10) μg/L vs.(286.74±67.98) μg/L,(60.52±18.31)μg/L vs.(162.33±52.62) μg/L,(31.61± 9.42) μg/L vs.(77.44±24.54)μg/L and (24.64±17.45) mg/L vs.(41.46±20.79) mg/L,(81.11± 36.58) mg/L vs.(117.23±44.80) mg/L,(44.90±22.31) mg/L vs.(65.27±38.05) mg/L,the differences were statistically significant (P＜0.05).Conclusion The concept of rapid rehabilitation surgery applied to patients with hepatectomy can reduce postoperative stress response,reduce postoperative complications,and accelerate the recovery process.
