|Table of Contents|

Application of fast track surgery for patients undergoing different types of gastrectomy

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2019 04
Page:
603-606
Research Field:
Publishing date:

Info

Title:
Application of fast track surgery for patients undergoing different types of gastrectomy
Author(s):
Zheng Jiayu; Li Juan
Department of Gastorenterology of Wuhan Center Hospital (Houhu District)，Hubei Wuhan 430000,China.
Keywords:
radical surgery for gastric cancer; fast track; nursing
PACS:
R735.2
DOI:
10.3969/j.issn.1672-4992.2019.04.015
Abstract:
Objective:To evaluate the effectiveness and safety of fast track (FT) model in the postoperative rehabilitation of patients with different types of gastrectomy.Methods:Patients with gastric cancer who underwent open surgery (OS) (n=40) or laparoscopic surgery (LS) (n=40) in our hospital from January 2016 to June 2017 were enrolled in this study.Patients were randomly divided into FT treatment groups (OS+FT group,n=20.LS+FT group,n=20) and normal track (NT) control groups (OS+NT group,n=20.LS+NT group,n=20).The pain score,postoperative rehabilitation data and incidence of postoperative complications were collected and analyzed.Results:Compared with patients treated with NT,the pain scores were significantly lower in patients treated with FT at 1,2,3,4 and 5 d post-OS or post-LS (P＜0.005).Time to first flatus,time to ambulation and postoperative hospital stay were significantly shorter in OS+FT group and LS+FT group (P＜0.05).Postoperative complication rate in OS+FT group and LS+FT group was 10%,and there was no significant difference compare with OS+NT group and LS+NT group (10% vs 20% and 10% vs 15%,respectively) (P＞0.05).Conclusion:FT can significantly ameliorate the postoperative pain and is beneficial to rehabilitation,while it does not increase the risk of postoperative complications.FT is safe and effective forpatients undergoing open gastrectomy or laparoscopic gastrectomy.

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