腹腔镜结直肠癌根治术围手术期FTS的应用  

Laparoscopic resection of colorectal cancer guided by fast-track surgery

作　　者：单康明 王凤力[2] 陆保成[3] 

机构地区：[1]灌南县新区人民医院普外科,江苏灌南222500 [2]连云港市第一人民医院普外科,江苏连云港222000 [3]江苏省肿瘤医院普外科,江苏南京210009

出　　处：《中国肿瘤外科杂志》2011年第4期224-226,共3页Chinese Journal of Surgical Oncology

摘　　要：目的观察快速康复外科(fast-track surgery,FTS)新理念应用于腹腔镜结直肠癌根治术围手术期的安全性和有效性。方法将2008年6月—2010年6月收治的40例结直肠癌限期手术患者随机分为2组,每组20例,FTS组按FTS新理念行围手术期处理,对照组按传统方法行围手术期处理。比较2组患者的下床时间、自行排尿时间、肛门排气时间、进半流质时间、停止静脉输液时间、术后住院时间、住院费用及围手术期不良反应,并对其结果进行总结分析。结果与对照组相比,FTS组患者术后肠功能恢复排气时间显著提前,下床时间、自解小便时间、进半流质时间、停止输液时间均提前,术后住院时间缩短,住院费用减少,P均<0.05。结论腹腔镜结直肠癌根治术围手术期应用FTS理念指导治疗可加速患者术后肠功能的恢复,并不增加术后不良反应,有利于患者的术后康复,值得临床推广应用。Objective To explore the safty and efficacy of fast track surgery in colorectal cancer radical operation with laparoscopes in the perioperative period. Methods 40 cases of patients with colorectal cancer surgical operation treatment from 2008 June to 2010 December were divided into 2 groups, 20 patients in each. One group was treated by FFS and the other was treated by traditional method during preoperative period. Compared two groups of patients with the time of out bed, voluntary urination, passage of gas by anus, semi-liquid, stop intravenous infusion, postoperative hospital stay, hospital charges, and adverse reaction in perioperative period, then analyzed the results. Results Compared with the control group, the time of out bed, voluntary uri- nation, passage of gas by anus, semi-liquid, stop intravenous infusion, postoperative hospital stay of FTS group was shorter, hospital costs were reduced, P 〈 0.05. Conclusions Fast track surgery in colorectal cancer radical operation with laparoscopes in the perioperative period can accelerate recovery of intestinal function, not increase postoperative complications and help postoperative rehabilitaion,is worthy of clinical application.

关 键 词：快速康复外科 腹腔镜手术 结直肠癌根治术 围手术期处理 

分 类 号：R473.73[医药卫生—护理学]