加速康复外科在肝叶切除术中的应用

Application of fast track surgery in hepatolobectomy

目的探讨加速康复外科在肝叶切除术中的应用。方法选取我院2008年1月至2010年11月接受肝叶切除术的患者81例，随机分成加速康复外科（FTS）组41例和普通治疗组40例，对数据进行统计学分析。结果普通组和FTS组手术时间和术后并发症发生率比较差异无统计学意义（P值分别为n23，n97）。FIS组在住院天数、住院费用、患者满意度方面与普通组比较差异有统计学意义，P均〈0．05。结论在肝叶切除中应用FTS理论缩短住院时间、减少住院费用、提高患者满意度，同时不增加患者的手术时间和术后并发症发生率，可以达到加速康复的目的。

Objective To explore the application of fast track surgery in hepatolobectomy. Methods Eighty -one patients performed hepatolobectomy from January 2008 to November 2010 were randomly divided into fast track surgery group （41 cases） and ordinary treatment group （40 cases）. The datas were statistically analyzed. Results Ordinary group and FTS group had no statistically significant difference in the operation time or incidence of postoperative complications（ P =0.23,0. 97）. Ordinary group and FTS group had statistically significant differences in hospital days, be in hospital costs and patients satisfaction （ P 〈 0.05 ）. Conclusions Fast track surgery applying in hepatolobectomy, can shorten the hospital stay, reduce hospital costs and improve patient＇s satisfaction. At the same time does not increase the operation time and incidence of postoperative complications. Fast track surgery could accelerate the recovery after hepatolobectomy.