期刊文献+

快通道外科在结直肠手术中的应用研究 被引量:1

Fast-track colorectal surgery
下载PDF
导出
摘要 目的:探讨快通道外科在结直肠手术中应用的安全性和价值。方法:对35例患者接受了快通道外科结直肠切除术,48例患者接受了传统结直肠切除术的临床资料进行回顾性分析。结果:平均术后住院时间:快通道外科组6.7d,传统组11.8d(P<0.05);术中及术后30d内并发症发生率:快通道外科组8.6%,传统组12.5%(P>0.05),传统组死亡1例。结论:快通道外科在结直肠切除术中应用是安全的、能加快病人术后康复。 Objective:To evaluate the safety and value of fast-track colorectal surgery . Methods: Non-randomised, prospective controlled study in 35 consecutive patients undergone fast-track colorectal surgery and 48 consecutive patients undergone conventional care was performed. Results :Median hospital stay was 6.7 vs. 11.8 d in the fast-track vs. conventional care group (P〈0.05). There was no significant difference in perioperative complications between two groups (8. 6%vs. 12.5%, P〉0.05). Conclusion:fast-track surgery in colorecal operation is safe and able to accelerate the rehabilitation.
出处 《陕西医学杂志》 CAS 2009年第10期1288-1290,共3页 Shaanxi Medical Journal
基金 广西卫生厅自筹经费研究课题(课题合同号Z2007160)
关键词 结肠肿瘤/外科学 直肠肿瘤/外科学 康复 安全性 @快通道外科 Rectal neoplasms/surgery Colonic neoplasms/surgery Rehabilitation Safety @,Fast track surgery
  • 相关文献

参考文献7

  • 1Schwenk W, Mailer JM. What is "Fast-track"-surgery [J]. Dtsch Med Wochenschr, 2005 , 130 (10) : 536-540.
  • 2Basse L, Thorbl JE, Lssl K,et al. Colonic surgery with accelerated rehabilitation or conventional care [J]. Dis Colon Rectum,2004,47(3) :271-277.
  • 3郑民华,王灏,郁宝铭.腹腔镜结直肠手术[J].中国实用外科杂志,1998,18(5):267-269. 被引量:48
  • 4周总光,李立,舒晔,于永扬,程中,雷文章,王天才.腹腔镜全直肠系膜切除保肛治疗低位直肠癌[J].中华外科杂志,2002,40(12):899-901. 被引量:53
  • 5Kehlet H. Fast-track colonic surgery: status and perspectives. Recent Results Cancer Res, 2005, 165:8- 13.
  • 6Schwenk W, Neudecker J, Raue W, et al. "Fast-track" rehabilitation after rectal cancer resection [ J]. Int J Coloreetal Dis, 2006,21(6):547-553.
  • 7Kariv Y, Delaney CP, Senagore AJ, et al. Clinical outcomes and cost analysis of a " Fast-track " postoperative care pathway for ileal pouch-anal anastomosis :a case control study[J]. Dis Colon Rectum, 2007,50(2) : 137-146.

二级参考文献12

  • 1郑民华,蒋渝,郁宝铭,尹浩然,李宏为.腹腔镜直乙结肠切除术[J].腹部外科,1995,8(1):18-19. 被引量:37
  • 2Kapiteijn E,van De Velde CJ. European trials with total mesorectal excision. Semin Surg Oncol, 2000,19:350-357.
  • 3Killingback M, Barron P, Dent OF. Local recurrence after curative resection of cancer of rectum without total mesorectal excision. Dis Colon Rectum, 2001,44:473-486.
  • 4Hartley JE, Mehigan BJ, Qureshi AE, et al. Total mesorectal excision: assessment of the laparoscopic approach. Dis Colon Rectum, 2001,44:315-321.
  • 5McCall JL,Cox MR,Wattchow DA.Analysis of local recurrence rates after surgery alone for rectal cancer. Int J Colorectal Dis,1995,10:126-132.
  • 6Fowler DL, White SA. Laparoscopy-assisted sigmoid resection. Surg Lap and Endo, 1991, 1(3): 183.
  • 7Kwok SPY, Carey PD, Li AKC. Prospective evaluation of Caparoscopic-assisted Larg bowel excision for cancer Ann Surg, 1996, 233:170.
  • 8Hughes ES, McPermott FT, Polglase AL, et al. Tumor recurrence in the abdominal wall scar tissue after large bowel cancer Surgery. Dis Colon Rectum, 1983, 26:571.
  • 9Cirouo WC, Schwartzman A, Golub RW. Abdominal wall recurrence after laparoscopic colectomy for colon cancer Surgery, 1994, 116:842.
  • 10Hewett PJ, Thomas WM, King G, et al. Intraperitoneal cell movement during abdominal carbon dioxide insufflation and laparoscopy an in vivo model. Dis Colon Rectum, 1996, 39:562.

共引文献99

同被引文献4

引证文献1

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部