Effect of fast track surgery concept on postoperative rehabilitation and perioperative stress index in patients undergoing laparoscopic radical gastrectomy
LI Sibo HUANG Lan▲
Department of Tumor Laparoscopic Surgery, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China
Abstract：Objective To explore and analyze the effect of fast track surgery (FTS) concept on postoperative rehabilitation and perioperative stress indicators in patients undergoing laparoscopic radical gastrectomy. Methods A total of 82 patients undergoing laparoscopic radical gastrectomy admitted to the First Affiliated Hospital of Harbin Medical University from June 2017 to June 2019 were selected as the research objects. A random number table method was used to divide them into the control group and observation group, each with 41 cases. The control group was given routine perioperative management, and the observation group was giren group perioperative management based on the concept of FTS on the basis of the control group. The surgical indicators (operating time, intraoperative blood loss, number of lymph node dissections, number of indwelling drainage tubes and intraoperative fluid replenishment), postoperative rehabilitation related indicators (anal exhaust time, urinary tube removal time, oral feeding time and the length of hospital stay), perioperative stress indicators [C-reactive protein (CRP) and interleukin-6 (IL-6) before operation and on the first, fourth, and seventh days after operation] and complication rate were compared between the two groups. Results There were no significant differences in the operation time, intraoperative blood loss, and number of lymph node dissection between the two groups (all P ＞ 0.05). Compared with the control group, the number of indwelling drainage tubes and the amount of intraoperative fluid replacement in the observation group were less (all P ＜ 0.01). In the observation group, the time of anal exhaust, the time of removing the urinary tube, the time of oral feeding and the length of hospital stay were shorter (all P ＜ 0.01). Compared with preoperation, the levels of CRP and IL-6 in the two groups increased significantly on the first, fourth, and seventh days after operation (all P ＜ 0.05). The levels of CRP and IL-6 in the observation group were significantly lower than those in the control group (all P ＜ 0.05). Compared with the control group, the observation group had a lower incidence of anastomotic leakage, infection, gastric retention, intestinal obstruction, and postoperative bleeding complications (all P ＜ 0.05). Conclusion Implementing the concept of FTS based on conventional perioperative management and applying the concept of laparoscopic radical gastrectomy can effectively promote the recovery of patients after surgery, improve perioperative stress indicators, and reduce the incidence of complications, ensure safety better.
李斯博 黄澜▲. 快速康复外科理念对腹腔镜胃癌根治术患者术后康复及围术期应激指标的影响[J]. 中国医药导报, 2021, 18(2): 90-93,97.
LI Sibo HUANG Lan▲. Effect of fast track surgery concept on postoperative rehabilitation and perioperative stress index in patients undergoing laparoscopic radical gastrectomy. 中国医药导报, 2021, 18(2): 90-93,97.
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2021, Vol. 18 
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