快通道外科在胃癌根治术中的应用  

Fast-track surgery in radical gastrectomy for gastric carcinoma

作　　者：贺健[1] 李晴[1] 郑立君[1] 

机构地区：[1]同济大学附属第十人民医院普外科,上海200072

出　　处：《上海医学》2009年第8期734-737,共4页Shanghai Medical Journal

摘　　要：目的评价快通道外科方案(FTS)在胃癌根治术中的应用价值。方法将2007年1月—2008年3月同济大学附属第十人民医院普外科收治的符合入选标准的胃癌患者随机分为FTS组和对照组。比较两组手术前后的应激指标、术后恢复情况、住院时间、住院费用和术后并发症的发生率。结果FTS组术后第1、3天的C反应蛋白(CRP)以及术后第1天的血清皮质醇和胰岛素水平均低于对照组(P值均<0.05)。FTS组的住院时间、住院费用和术后并发症的发生率均低于对照组(P值均<0.05)。结论FTS能减轻胃癌根治术患者的应激反应,促进术后康复,减少手术并发症。Objective To evaluate the value of fast-track surgery （FTS） in radical gastrectomy for gastric carcinoma. Methods From January 2007 to March 2008, 89 patients with gastric carcinoma were randomly assigned to FTS group and control group. The stress indices, postoperative recovery, hospital stay, cost of hospitalization, and incidences of complication were compared between the 2 groups. Results Serum CRP at 1, 3 days after operation and the serum cortisol and insulin levels at 1 day after operation in FTS group were significantly lower than those in the control group （all P〈0.05）. The hospital stay, cost of hospitalization and incidences of complication of FTS group were significantly lower than those of the control group （all P〈0.05）. Conclusion FTS protocol can alleviate the surgical stress after operation in patients with gastric carcinoma, promoting postoperative recovery and reducing complications.

关 键 词：快通道外科 胃癌根治术 胃癌 

分 类 号：R735.2[医药卫生—肿瘤] R654.2[医药卫生—临床医学]