摘要
209328 Fast track surgery in elective operation for colorectal carcinoma/Yang Dongjie(杨东杰,Dept Gastrointest Pancreas Surg,1st Affil Hosp,Sun Yat-sen Univ,Guangzhou 510080)…∥Chin J Gen Surg.-2009,24(6).-477～479Objective To investigate the clinical application of fast track surgery in patients undergoing elective colorectal carcinoma surgery.Methods Seventy patients with colorectal carcinoma requiring colorectal resection were randomized into two groups:fast-track group(35 cases) and conventional care group(35 cases).Results Sixty-two patients finished the study,32 cases in fast-track group and 30 cases in conventional care group.The median and average time to the first passage of flatus(2±1 vs.4±2,P<0.01),the first passage of stool (3.8±1.6 vs. 6.4±2.5,P=0.000 7),resumption of normal diet[(4±2)vs.(8.2±2.2),P<0.01]and the length of postoperative stay (6±1 days vs. 11.7±3.8 days,P<0.01)were much shorter in the fast-track group than in the conventional care group.The preoperative incidence of thirst (2/32 vs.23/30,P<0.01),hunger (5/32 vs.20/30,P<0.01) and postoperative infectious complications (2/32 vs.8/30,P=0.04)were much lower in the fast-track group than in the conventional care group.Conclusion Fast track surgery in patients undergoing elective colorectal resetion was safe and effective.12 refs,1 tab.
A novel incisionless laparoscopic technique for the surgical treatment of colorectal tumor, Ciinicopathological features and prognosis of different gastric carcinoid subtypes,Features of metastasis in different lymph node groups and their significance in lymph node dissection in toal gastrectomy for gastric cancer,Lymph node micrometastases in negative no11P lymph nodes by conventional pathology in patients of lower third gastric cancer.
