CAJ | 학술논문

目的探讨开腹结肠癌根治切除术采用加速康复外科治疗与传统围手术期处理方法的安全性及有效性.方法回顾分析2011年5月-2013年5月广东医学院附属三水医院普通外科收治的66例结肠癌根治切除手术患者临床资料,随机分为加速康复组(n=34)和传统方法组(n=32).比较两组患者术后住院时间、恢复肠排气时间、停止静脉输液的时间、营养状态的变化、治疗费用以及术后并发症的发生情况.结果与传统方法组相比,加速康复外科组术后住院时间缩短、治疗费用降低,术后首次肠道排气时间提前,停止静脉输液时间提前,手术后体重未见明显下降.两组术后并发症的发病率差异无统计学意义.结论加速康复外科理念指导下的结肠癌根治切除术安全、有效,可明显减轻围手术期患者的应激反应,加速患者康复.
목적 탐토개복결장암근치절제술채용가속강복외과치료여전통위수술기처리방법적안전성급유효성.방법 회고분석2011년5월-2013년5월엄동의학원부속삼수의원보통외과수치적66례결장암근치절제수술환자림상자료,수궤분위가속강복조(n=34)화전통방법조(n=32).비교량조환자술후주원시간、회복장배기시간、정지정맥수액적시간、영양상태적변화、치료비용이급술후병발증적발생정황.결과 여전통방법조상비,가속강복외과조술후주원시간축단、치료비용강저,술후수차장도배기시간제전,정지정맥수액시간제전,수술후체중미견명현하강.량조술후병발증적발병솔차이무통계학의의.결론 가속강복외과이념지도하적결장암근치절제술안전、유효,가명현감경위수술기환자적응격반응,가속환자강복.
Objective This study was designed to compare the safety and efficacy of fast track surgery (FTS) with conventional perioperative management in colonl cancer patients undergoing radical resection.Methods From May 2011 to May 2013,66 patients with colorectal cancer were randomly assigned to FTS group and control group.Outcomes were assessed by length of postoperative hospital stay,medical cost,nutritional status,gut function,and postoperative complication.Results FTS group was associated with a significantly shorter postoperative hospital stay,lessmedical cost,earlier first passage of flatus,less loss of body weight in the postoperative period compared with control group,and there were no differences in morbidity or mortality between two groups.Conclusion The radical resection under the guidence of fast track rehabilitation is safe and effective method.Significantly reduce patients' perioparative stess response and accelerate the recovery.