快速康复外科模式在腹腔镜胃癌根治术中的应用

Clinical application of perioperative fast-track program in patients undergoing laparoscopic radical resection for gastric cancer

目的:评价快速康复外科(FTS)在接受择期手术的腹腔镜胃癌根治术(D2根治)患者中的安全性和有效性。方法:将68例拟接受择期腹腔镜手术的胃癌患者分为快速康复组和传统治疗组,每组34例。快速康复组围手术期接受快速康复方案处理,传统治疗组接受传统的围手术期处理。观察术后首次排气时间、术后住院时间、住院总费用及术后并发症等。结果:两组病人均痊愈出院。快速康复组患者与传统手术相比,首次排气时间提前、术后的住院时间缩短、住院总费用减少(P<0.05)。术后并发症发生率没有增加(P>0.05)。结论:快速康复外科模式在接受择期腹腔镜手术的胃癌患者中安全可行,加快了患者术后康复,缩短了术后住院时间,降低了医疗费用。

Objective： To evaluate the safety and efficacy of fast track surgery in patients undergoing laparoscopic radical resection for gastric cancer. Methods： Sixty eight patients with gastric cancer requiring laparoscopic radical gastrectomy were divided into two groups：fast-track surgery program group（n=34cases, receiving perioperative FTS program） and conventional care group（n=34, receiving a conventional the-rapy）. Clinical parameters including the postoperative first flatus time, postoperative hospital stay, hospitalization expenditure and post- operative complications in the 2 groups were analyzed via t test and chi-square test. Results： All patients in both groups were cured. The postoperative first flatus time was earlier, the mean postoperative hospital stay was significantly shorter, and average hospitalization expenditure significantly lower in fast-track surgery program group than in the conventional care group （P〈0.05）. There Js no difference in the incidence of postoperative complications between the two groups （P〉0.05）. Conclusion： Fast-track surgery in patients undergoing laparoscopic radical resection for gastric cancer was safe and effective, and it can accelerate postoperative rehabilitation, shorten hospital stay, and lower hospitalization expenditure.