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Effect of Fast Track Surgery on Surgical Stress in Laparoscopy-Assisted Distal Gastrectomy
Pages: 49-52
Year: Issue:  2
Journal: Acta Academiae Medicinae Jiangxi

Keyword:  fast track surgerygastric cancerlaparoscopystress;
Abstract: ABSTRACT:Objective To evaluate the effect of fast track surgery on surgical stress in laparos-copy-assisted distal gastrectomy.Methods Using the 5-hole method,laparoscopy-assisted D2 dis-tal gastrectomy was performed by the same group of doctors in 72 patients with gastric cancer. These patients were assigned to receive either conventional perioperative management (control group,n=36)or FTS management(FTS group,n=36)for laparoscopic surgery.Operative time, intraoperative blood loss,time to off-bed activities,postoperative length of hospital stay,time to first postoperative flatus and total hospitalization costs were compared between the two groups.In addition,serum levels of albumin,C-reactive protein(CRP)and interleukin-6(IL-6)were meas-ured on postoperative days 1,4 and 7.Results There were no significant differences in operative time,intraoperative blood loss and preoperative CRP and IL-6 levels between the two groups(P >0.05).After operation,serum levels of CRP and IL-6 gradually increased on postoperative days 1 and 4,but decreased on postoperative day 7(P <0.05).Compared with control group,FTS man-agement shortened the time to off-bed activities,postoperative length of hospital stay,time to first postoperative flatus,reduced the total hospitalization costs,and decreased the postoperative CRP and IL-6 levels(P <0.05).Conclusion The combination of FTS and laparoscopic resection is safe and feasible for distal gastric cancer.It can relieve surgical stress,improve postoperative nutrition-al status,promote gastrointestinal peristalsis,shorten hospital stay and accelerate rehabilitation.
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