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外科研究与新技术 ›› 2017, Vol. 6 ›› Issue (1): 15-17.

• 论著 • 上一篇    下一篇

快速康复理念在全腹腔镜下结直肠癌微创手术中的应用

王茂生   

  1. 曲靖市第二人民医院
  • 收稿日期:2017-02-09 修回日期:2017-02-24 出版日期:2017-03-28 发布日期:2017-04-04
  • 通讯作者: 王茂生 E-mail:550915158@qq.com

The value of fast track surgery applied in laparoscopic minimally invasive surgery of colorectal carcinoma

  • Received:2017-02-09 Revised:2017-02-24 Online:2017-03-28 Published:2017-04-04

摘要: 【摘要】目的:探讨快速康复理念应用于全腹腔镜下结直肠癌微创手术中的有效性和安全性。方法:选取2014年1月-2016年12月我院择期行全腹腔镜下根治性手术的78例结直肠癌患者为观察组,选取同期我院择期行全腹腔镜下根治性手术的75例结直肠癌患者为对照组,对照组予传统围手术期处理措施,观察组采用快速康复外科流程。比较两组手术时间、术中出血量、肛门排气、术后进食、术后下地、住院时间等术中术后指标及术后并发症发生情况。结果:观察组肛门排气时间、术后进食时间、术后下地时间及住院时间均短于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:快速康复理念应用于全腹腔镜下结直肠癌微创手术可促进患者康复,减少术后并发症的发生。

关键词: 关键词:快速康复理念, 全腹腔镜, 结直肠癌

Abstract: [Abstract] Objective: To explore the security and validity of fast track surgery applied in laparoscopic minimally invasive surgery of colorectal carcinoma. Methods: 78 cases would undergo laparoscopic minimally invasive surgery of colorectal carcinoma from Jan. 2014 to Dec. 2016 were selected as observation group and another 75 cases would undergo laparoscopic minimally invasive surgery of colorectal carcinoma in the same period were selected as control group. The cases in control group were taken conventional perioperative management and in observation group were taken fast track surgery. The operation time, intraoperatve blood soss, anal aerofluxus time, postoperative feeding time, ambulation time, operation time and complications were compared. Results: In observation group, the anal aerofluxus time, postoperative feeding time, ambulation time and operation time were shorter than control group. The occurrence rate of complications was lower than control group. Differences between the two groups were significant (p<0.05). Conclusion: The application of fast track surgery applied in laparoscopic minimally invasive surgery of colorectal carcinoma can promote the recovery and reduce the postoperative complications.

Key words: Keywords: fast track surgery, laparoscopic, colorectal carcinoma