损伤控制外科及加速康复外科理念在腹腔镜胃癌根治术中的应用

Application of damage control surgery and fast tract surgery in patients underwent laparoscopic radical gastrectomy

目的探讨损伤控制外科及加速康复外科理念在腹腔镜胃癌根治术中的应用价值。方法回顾性分析2013年2月-2014年2月实施腹腔镜胃癌根治术280例的临床资料,140例采用损伤控制外科及加速康复外科治疗方法作为观察组,140例采用传统治疗方法作为对照组,比较两组患者术后肛门通气时间、术后住院时间、住院费用和术后并发症发生情况。结果与对照组比较,观察组术后肛门通气早、术后住院时间短、住院费用降低(P<0.05),并不增加手术相关并发症的发生率(P>0.05)。结论损伤控制外科及加速康复外科理念用于腹腔镜胃癌患者安全可行、有效,可加速患者的术后康复过程,与传统方法比较具有一定的优势,值得临床推广应用。

Objective To investigate the application of damage control surgery and fast tract surgery in patients with laparoscopic radical gastrectomy. Methods A retrospective analysis of 280 patients who underwent laparoscopic radical gastrectomy from February 2013 to February 2014 was carried out. 140 cases with damage control surgery and fast tract surgery treatment were divided into the experimental group,140 cases with the traditional treatment was divided into the control group. The postoperative anal ventilation time,postoperative hospital stay,cost of hospitalization and postoperative complications were observed. Results Compared with the control group,damage control surgery and fast tract surgery group had early postoperative anal vent,shorter postoperative hospital stay,reduced hospital costs（ P〈0. 05）,not increased the incidence of surgery-related complications（ P〉0. 05）. Conclusion Application of damage control surgery and fast tract surgery in patients underwent laparoscopic radical gastrectomy is safe,feasible and effective. It can accelerate the rehabilitation process of patients after surgery,compared with the traditional method has certain advantages,is worthy of clinical application.