CAJ | 학술논문

目的：探讨在腹腔镜右半结肠癌根治手术中应用快速康复外科（FTS）的安全性及治疗效果。方法：将2011年6月-2013年12月九江市第一人民医院普外科收治的68例行腹腔镜右半结肠癌根治手术患者随机分为FTS组34例和对照组34例，FST组应用快速康复外科，对照组应用传统方法，比较两组的首次排气时间、首次排便时间、住院天数、治疗费用、术后并发症发生率。结果：与对照组相比，FST组术后并发症发生率降低，首次排气时间、首次排便时间提前，住院时间缩短，住院费用降低，差异均有统计学意义（P<O.05）。结论：腹腔镜右半结肠癌根治手术患者应用快速康复外科安全可行，具有术后康复快的优点和好的疗效。
목적：탐토재복강경우반결장암근치수술중응용쾌속강복외과（FTS）적안전성급치료효과。방법：장2011년6월-2013년12월구강시제일인민의원보외과수치적68례행복강경우반결장암근치수술환자수궤분위FTS조34례화대조조34례，FST조응용쾌속강복외과，대조조응용전통방법，비교량조적수차배기시간、수차배편시간、주원천수、치료비용、술후병발증발생솔。결과：여대조조상비，FST조술후병발증발생솔강저，수차배기시간、수차배편시간제전，주원시간축단，주원비용강저，차이균유통계학의의（P<O.05）。결론：복강경우반결장암근치수술환자응용쾌속강복외과안전가행，구유술후강복쾌적우점화호적료효。
Objective:To explore the feasibility and safety of fast-track surgery(FTS)in laparoscopic assisted fight hemicolectomy for colonic carcinoma.Method:Fifty patients underwent laparoscopie right hemicolectomy for colon carcinoma from June 2011 to December 2013 were randomly divided into two groups,34 patients received FTS and 34 patients received conventional care.The first time of flatus and defecation,the length of hospital stay , medical cost were compared between the two groups.Result:Compared with the control group,FST group decreased incidence of postoperative complications,accelerated the first time of flatus and defecation ,shortened the days of hospitalization,reduced medical cost(P<O.05).Conclusion:The fast-track surgery(FTS)in laparoscopic assisted fight hemicolectomy for colonic carcinoma is safe and effective.It has advantage of earlier postoperative recovery,and good effect.