摘要
目的探讨快速康复外科理念应用于腹腔镜肝切除术围手术期是否可以加速患者术后恢复,减少围手术期应激反应,是否可以降低术后并发症发生率。方法收集46例行腹腔镜肝切除术的肝癌患者的临床资料,分为快速康复组(FTS组)及传统组,比较患者住院天数、住院费用,围手术期的应激反应及术后并发生发生率,评价快速康复理念的意义及价值。结果两组手术时间及术中出血量比较,差异均无统计学意义(P﹥0.05);FTS组术后排气时间、引流管拔除时间及住院时间短于传统组,住院费用少于传统组,差异有统计学意义(P﹤0.05);FTS组术后C反应蛋白、白蛋白、胆碱酯酶及谷丙转氨酶均低于传统组;FTS组及传统组术后并发症发生率比较,差异无统计学意义(P﹥0.05)。结论 FTS理念应用于腹腔镜肝切除术患者围手术期可以缩短术后住院时间,减少住院费用,减轻患者围手术期的应激反应,促进术后肝功能的恢复。
Objective To explore whether the application of principles of fast track surgery （TFS） in perioperative pe- riod for patients who underwent laparoscopic hepatectomy can accelerate the postoperative recovery of patients, relieve the perioperative stress response, and reduce the incidences of postoperative complications. Method Clinical data of 46 cases of liver cancer patients who underwent laparoscopic hepatectomy were collected and divided into FTS group and traditional group. The length of hospital stay, hospital costs, perioperative stress response and postoperative incidences of complications were compared between two groups to evaluate the significance and value of the principles of fast track sur- gery. Result There was no significant difference between the two groups in operation time and intraoperative bloos loss （P〉0.05）. The postoperative exhaust time, removal time of drainage tube and the length of hospital stay in FTS group were shorter than those in traditional group, hospital costs in FTS group were less than those in traditional group, and the differences between two groups reached statistical significance （P〈0.05）. The postoperative levels of C-reactive protein, albumin, cholinesterase and glutamate pyruvate transaminase in FTS group were lower than those in traditional group; there was no significance difference in incidences of postoperative complications between FTS group and traditional group （P〉0.05）. Conclusion The application of principles of fast track surgery （FTS） in perioperative period for patients who underwent laparoscopic hepatectomy can shorten the length of postoperative hospital stay, reduce hospital costs, re- lieve the perioperative stress response, and promote recovery after surgery.
出处
《癌症进展》
2017年第3期338-341,共4页
Oncology Progress
