CAJ | 학술논문

目的：探讨快速康复外科理念下围手术期处理方法在胃癌根治术（D2根治）患者中的安全性和有效性。方法：将48例拟接受择期胃癌手术患者分为快速康复组和传统治疗组，每组24例。快速康复组围手术期接受快速康复方案处理，传统治疗组接受传统的围手术期处理。比较两组患者在术后首次排气时间、术后住院时间、住院总费用及术后并发症方面的情况。结果：两组患者均痊愈出院。快速康复组患者与传统手术相比，首次排气时间提前、术后的住院时间缩短、住院总费用减少（P <0.05）。术后并发症发生率未增加（P >0.05）。结论：快速康复外科模式在接受择期手术的胃癌患者中安全、可行，加快了患者术后康复，缩短了术后住院时间。
목적：탐토쾌속강복외과이념하위수술기처리방법재위암근치술（D2근치）환자중적안전성화유효성。방법：장48례의접수택기위암수술환자분위쾌속강복조화전통치료조，매조24례。쾌속강복조위수술기접수쾌속강복방안처리，전통치료조접수전통적위수술기처리。비교량조환자재술후수차배기시간、술후주원시간、주원총비용급술후병발증방면적정황。결과：량조환자균전유출원。쾌속강복조환자여전통수술상비，수차배기시간제전、술후적주원시간축단、주원총비용감소（P <0.05）。술후병발증발생솔미증가（P >0.05）。결론：쾌속강복외과모식재접수택기수술적위암환자중안전、가행，가쾌료환자술후강복，축단료술후주원시간。
Objective To evaluate the safety and efficacy of fast track surgery in patients undergoing radical resection for gastric canc-er. Method 48 patients with gastric cancer undergoing radical resection were divided into groups:fast track surgery program(n = 24 cases, received perioperative FTS program)and conventional care group(n = 24 cases,received the traditional periopera - live). The postoperative first flatus time,postoperative hospital stay,hospitalization expenditure and post operative complication were compared between the two groups. Results All patients in both groups were cured. There were no differences in post operative complication between the two groups(P> 0. 05). Fast track rehabilitation group was associated with a significantly shorter postoperative hospital stay,lower hospitalization expendi-ture and earlier the postoperative first flatus time compared with conventional care group(P < 0. 05). Conclusion Fast track rehabilitation is feasible and effective in gastric cancer undergoing radical resection. It can promote an early recovery ,shorten postoperative hospital stay.