Promotion of postoperative recovery with fast track surgery for gastric cancer patients ;undergoing gastrectomy：a prospective randomized controlled study
10.3760/cma.j.issn.1671-0274.2014.05.020
- VernacularTitle:快速康复外科理念应用于胃癌患者围手术期的前瞻性随机对照研究
- Author:
Gongping WANG
1
;
Yantong YANG
;
Bo ZHOU
;
Ye CHEN
;
Canhui JIN
;
Zengfang WANG
;
Zhenzhen WANG
;
Wei ZHANG
;
Xiaoshan FENG
Author Information
1. 河南科技大学第一附属医院胃肠肿瘤外科
- Keywords:
Stomach neoplasms;
Fast track surgery;
Stress;
Postoperative complications
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(5):489-491
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety and feasibility of fast track surgery (FTS) in the promotion of postoperative recovery for gastric cancer patients undergoing gastrectomy. Methods From January to December in 2013, 71 gastric cancer patients were prospectively enrolled and randomized into the FTS group and the control group. Patient in the FTS group received FTS management and those in the control group received routine management. The postoperative recovery and stress were compared between the two groups. Results FTS was associated with shorter time to bowel function return[(67.8±19.7) h vs. (90.0±20.6) h, P<0.01], shorter hospital stay [(13.5±3.0) d vs. (17.8±7.3) d, P=0.01], lower hospital cost [(23.8±3.7) thousand Yuan vs. (27.8±6.1) thousand Yuan, P<0.05], and less stress response(lower pain score, WBC count, C-reactive protein, all P<0.01). The postoperative complications including ileus, infection, anastomotic leakage were similar (all P>0.05). Conclusion Fast track surgery decreases postoperative stress response and promotes recovery.
