[1]伏洁*,王琛,樊勇,等.快速康复模式在腹腔镜结肠癌切除术围术期的应用[J].中国微创外科杂志,2017,17(10):899-901.
 Fu Jie,Wang Chen,Fan Yong,et al.Application of Fast Track Surgery in Perioperative Period of Laparoscopic Colon Resection[J].Chinese Journal of Minimally Invasive Surgery,2017,17(10):899-901.
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快速康复模式在腹腔镜结肠癌切除术围术期的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年10期
页码:
899-901
栏目:
临床研究
出版日期:
2017-10-20

文章信息/Info

Title:
Application of Fast Track Surgery in Perioperative Period of Laparoscopic Colon Resection
作者:
伏洁*王琛樊勇康迎新刘永永康博雄李徐生赵彦会王品夏博伟
兰州大学第二医院微创外科,兰州730030
Author(s):
Fu Jie Wang Chen Fan Yong et al.
Department of Minimally Invasive Surgery, Lanzhou University Second Hospital, Lanzhou 730030, China
关键词:
快速康复外科腹腔镜结肠癌切除术
Keywords:
Fast track surgeryLaparoscopic colon resection
文献标志码:
A
摘要:
目的探讨快速康复外科(fast track surgery,FTS)在腹腔镜结肠癌切除术围术期的应用价值。方法选取我院2013年9月~2015年9月腹腔镜结肠癌切除术200例,采用随机数字法分为传统组和FTS组各100例,比较肛门排气时间、排便时间、进半流食时间、住院时间、术后并发症。结果与传统组比较,FTS组排气早[(28.0±4.4)h vs. (40.9±54)h, t=-18.520, P=0000],排便早[(38.8±5.3)h vs. (50.7±4.3)h, t=-17.436, P=0.000],进半流食早[(2.3±0.8)d vs. (4.2±0.7)d, t=-17.874, P=0.000],术后住院时间短[(6.2±1.3)d vs. (9.2±1.6)d, t=-14.552, P=0000],术后肺部感染发生率低(6% vs. 20%, χ2=8.665,P=0.003)。结论FTS有利于患者术后康复,胃肠功能恢复快。
Abstract:
ObjectiveTo discuss the value of fast track surgery (FTS) in perioperative period of laparoscopic colon resection.MethodsWe selected 200 cases of laparoscopic colon resection in our hospital from September 2013 to September 2015. The cases were randomly divided into either traditional group (control group) or fast track surgery group (FTS group), with 100 cases in each group. The time to flatus, time to defecation, time to intake semi-liquid diet, length of hospital stay, and postoperative complications were compared.Results As compared with the control group, the FTS group had shorter flatus time [(28.0±4.4) h vs. (40.9±5.4)h, t=-18.520, P=0.000], shorter defecation time[(38.8±5.3) h vs. (50.7±4.3) h, t=-17.436, P=0.000], shorter time to semi-liquid diet [(2.3±0.8) d vs. (4.2±0.7) d, t=-17.874, P=0.000], shorter postoperative hospital stay [(6.2±1.3) d vs. (9.2±1.6) d, t=-14.552, P=0.000], and lower incidence of postoperative pulmonary infection (6% vs. 20%, χ2=8.665, P=0.003).ConclusionFast track surgery combined with laparoscopy accelerates gastrointestinal functional recovery, being helpful for patient’s postoperative recovery.

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备注/Memo

备注/Memo:
*通讯作者,E-mail:13919816633@139.com
更新日期/Last Update: 2018-01-11