快速康复外科在腹腔镜前列腺癌根治术中的应用

Fast track surgery in improving patients' recovery after laparoscopic radical prostatectomy

目的探讨快速康复外科(fast track surgery,FTS)在促进腹腔镜前列腺癌根治患者术后恢复中的应用价值。方法选取2010年10月至2013年1月在我院接受腹腔镜前列腺癌根治术的18例患者,分为FTS组(9例)和对照组(9例),FTS组按照FTS方案进行围手术期处理,对照组接受传统的围手术期处理,对比两组患者术后首次排气时间、排便时间,拔除引流管时间、术后住院时间、住院费用和手术并发症等情况。结果 FTS组患者的排气时间、排便时间和住院时间为(31.9±9.7)h、(58.4±12.1)h及(4.5±0.5)d,均显著低于对照组[(47.3±10.0)h、(71.4±9.5)h及(8.0±2.3)d],P<0.05。住院费用亦显著减少[(23153.1±1638.5)元vs.(29652.4±2706.0)元,P<0.05]。拔除引流管时间差异无统计学意义(P>0.05)。两组均无明显并发症发生。结论应用FTS方案可加速腹腔镜前列腺癌根治患者术后康复,缩短住院时间,降低住院费用。

Objective To evaluate the value of fast track surgery in improving patients＆#39; recovery after laparoscopic radical prostatectomy. Methods Eighteen patients with prostate cancer underwent laparoscopic radical prostatectomy in our department from October 2010 to January 2013 were divided into the FTS group （n=9） and the control group （n=9）. Pa-tients in the FTS group received perioperative FTS care management. The control group received traditional perioperative care management. The following data of two groups were compared： time to first deflation/defecation, the drainage time, length of postoperative hospital stay, hospital costs and complications. Results When compared with the control group, the FTS group had a significantly shorter postoperative first deflation/defecation time and hospital stay （P＆lt; 0.05）. The hospital costs were significantly less （P＆lt;0.05）. There was no difference in the drainage time between the two groups （P＆gt; 0.05）. There were no major complications in both groups. Conclusion The application of FTS can enhance the pa-tient＆#39;s recovery after laparoscopic radical prostatectomy and reduce hospital stay and costs.