“Fast track” rehabilitation after gastric cancer resection: experience with 80 consecutive cases

BMC Gastroenterology

Research Article

Chen Lin¹  Bing Wang¹  Li-ying Lin¹  Lie Wang¹  Jing-xiang Song¹  Xiao-huang Tu¹  Zai-zhong Zhang¹ 

[1] Department of General Surgery, Fuzhou General Hospital of Nanjing Military Command, No. 156 North Xi’erhuan Road, 350025, Fuzhou, Fujian, China;

关键词: Gastric cancer;    Fast-track surgery;    Perioperative treatment;    Hospital stay;    Morbidity;   

DOI  :  10.1186/1471-230X-14-147

 received in 2013-12-31, accepted in 2014-08-08,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundTo evaluate the safety, efficacy and outcomes of fast-track rehabilitation applied to gastric cancer proximal, distal and total gastrectomy.MethodsEighty consecutive patients undergoing gastric cancer resection performed by a single surgeon, received perioperative multimodal rehabilitation. Demographic and operative data, gastrointestinal function, postoperative hospital stays, surgical and general complications and mortality were assessed prospectively.ResultsOf the 80 patients (mean age 56.3 years), 10 (12.5%) received proximal subtotal gastrectomy (Billroth I), 38 (47.5%) received distal (Billroth II), and 32 (40%) received total gastrectomy (Roux-en-Y). Mean operative time was 104.9 minutes and intraoperative blood loss was 281.9 ml. Time to first flatus was 2.8 ± 0.5 postoperative days. Patients were discharged at a mean of 5.3 ± 2.2 postoperative days; 30-day readmission rate was 3.8%. In-hospital mortality was 0%; general and surgical complications were both 5%.ConclusionsFast-track multimodal rehabilitation is feasible and safe in patients undergoing gastric cancer resection and may reduce time to first flatus and postoperative hospital stays.

【 授权许可】

Unknown   
© Song et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.