Title: Perioperative application of fast track surgery in laparoscopic radical resections for gastric cancer
Abstract: Objective:To evaluate the safety and feasibility of perioperative application of fast track surgery(FTS) in laparoscopic radical resections for gastric cancer.Methods:One hundred and sixty patients with gastric cancer were randomly divided into 4 groups according to perioperative management and surgical technique.Group A(40 cases) accepted open gastrectomy and traditional perioperative management.Group B(40 cases) accepted open gastrectomy and FTS management.Group C(40 cases) accepted laparoscopic gastrectomy and traditional perioperative management,and group D accepted laparoscopic gastrectomy and FTS management.The operation index,clinical index and complications were compared between the 4 groups.Results:The incision and blood loss in group C and D were less than group A and B,while the operation time was longer(P0.05),and there was no significant difference in lymph node harvest(P0.05).The recovery of bowel function and the postoperative hospital stay were shorter in group B,C and D(P0.05)in group A.The cost in group C and D was significantly higher than in group A and B.There were no significant differences in the recovery of bowel function,postoperative hospital stay and cost between group C and D.Conclusions:The operation guided by FTS could promote recovery of bower function and shorten postoperative hospital stay.Compared with open surgery,laparoscopic gastric resection had advantages of less blood loss,smaller incision and earlier recovery without increasing complications.However,laparoscopic gastrectomy with FTS was not superior than open surgery with FTS and laparoscopic gastrectomy.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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