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Chinese Journal of Oncology Prevention and Treatment

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Perioperative application of fast-track surgery in patients received colorectal surgery

XIE Gui-sheng,DONG Bao-guo,WEI Jiam-bao,et al.   

  1. (Department of General Surgery,The Second People's Hospital of Nanning City,Nanning 530031,China
  • Received:2010-06-25 Revised:2010-06-25 Online:2010-06-25 Published:2010-06-25

Abstract: Objective To explore the clinical effect of fast-track surgery in perioperative period of the patients with colorectal cancer that received colorectal surgery.Methods164 patients received colorectal surgery were randomly divided into the fast-track surgery(FTS)group and control group,82 in each group.Clinical therapeutic effect and complications of the two groups were compared by each other.Results Comparing to control group,FTS group had significantly shorter time of indwelling stomach catheter and urethral catheter,first feeding via alimentary tract,first exhaust and defecation,and the hospitalization time(all P<0.001).The complication rate was lower in the FTS group than that in control group(P<0.001).The cost of hospitalization in the FTS group was less than that in control group(P<0.001).Conclusion It is clinically feasible to apply fast-track surgery to the patients with colorectal cancer that received colorectal surgery during perioperative period.Fast-track surgery can significantly release pains,reduce complication rate,save medical cost and accelerate recovery after surgery.

Key words: Fast-track surgery, Colorectal cancer, Operation, Perioperative period