Application of Fast Track Surgery in Patients with Abdominal Aortic Aneurysm_West China Medical Journal

Authors：

 HEChun-yan ¹ , CUIChi ² , WANGHeng ¹ ,  TAOLan ³

1. Department of General Surgery, the Third People's Hospital of Chengdu, Chengdu, Sichuan 610031, P. R. China;
2. Department of General-vascular Surgery, the Third People's Hospital of Chengdu, Chengdu, Sichuan 610031, P. R. China;
3. Department of Nursing, the Third People's Hospital of Chengdu, Chengdu, Sichuan 610031, P. R. China;

Corresponding?author：

TAOLan, Email: 1847472400@qq.com

Keywords：

Fast track surgery; Abdominal aortic aneurysm; Clinical Parameter

DOI：

10.7507/1002-0179.20150491

Video：

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Objective To evaluate the effect of fast track surgery (FTS) on clinical parameters and postoperative complications in patients with abdominal aortic aneurysm (AAA). Method Fifty Patients with AAA treated in our hospital between December 2009 and May 2015 were enrolled in this study. Ten patients between December 2009 and December 2012 received conventional standard care (conventional group), while 50 between January 2013 and May 2015 received FTS (FTS group). The first exhaust time, the first time of off-bed activities, the duration of hospital stays, and the complications after AAA surgery were analyzed. Results The first exhaust time of patients in the FTS group and conventional group was (2.5±0.9) and (4.0±1.1) days; the first time of off-bed activities was (2.9±1.0) and (4.1±0.9) days; and the duration of hospital stays was (13.5±2.1) and (17.9±2.8) days. All those differences were significant (P<0.05). The incidences of incision infection, renal inadequacy, lower limb swelling, and weakened gastric function in the FTS group were significantly lower than those in the conventional group (P<0.05). On the third day after surgery, C-reactive protein in the FTS and conventional group was respectively (57.5±9.0) and (65.0±13.1) mg/L, and interleukin-6 was respectively (10.2±3.9) and (15.5±5.1) pg/L, both of which were significantly different between the two groups (P<0.05). Conclusions Fast track surgery is effective and safe in patients with abdominal aortic aneurysm, and it may lower trauma stress after surgery and incidence of postoperative complications.

Citation： HEChun-yan, CUIChi, WANGHeng, TAOLan. Application of Fast Track Surgery in Patients with Abdominal Aortic Aneurysm. West China Medical Journal, 2015, 30(9): 1716-1719. doi: 10.7507/1002-0179.20150491 Copy

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1. 黎介壽. 對Fast track Surgery(快通道外科)內涵的認識[J]. 中華醫學雜志, 2007, 87(8):515-517.
2. Kehlet H, Wilmore DW. Multimodal stregies to improve surgical outcome[J]. Am J Surg, 2002, 183(6):630-641.
3. 江志偉, 李寧, 黎介壽. 加速康復外科的概念及臨床意義[J]. 中國實用外科雜志, 2007, 27(2):131-133.
4. 于丁寧, 李鐸. 低體溫的危害及治療[M]. 國外醫學:外科學分冊, 2004, 31(5):259-261.
5. 張明鳴, 伍曉汀, 蔣漢卿, 等. 哈樂在預防腹部手術后導致尿潴留的應用[J]. 中國普外基礎與臨床雜志, 2006, 13(3):331-332.
6. Reimerink JJ, van der Laan MJ, Koelemay MJ, et al. Systematic review and meta-analysis of population-based mortality from ruptured abdominal aortic aneurysm[J]. Br J Surg, 2013, 100:1405-1413.
7. 胡國華, 符偉國. 降低破裂腹主動脈瘤的死亡率[J]. 中國血管外科雜志, 2014, 6(4):196-199.
8. Arya R, Barnes JA, Hossain U, et al. Long-haul flights and deep vein thrombosis:a significant risk only when additional Factors are also present[J]. Br J Haematol, 2002, 116(3):653-654.
9. 伍曉汀, 周勇. 腹腔引流管的正確選擇和合理應用[J]. 中國實用外科雜志, 2005, 25(1):35-36.
10. Kjossev KT, Losanoff JE. Complication of prophylactic intraperitoneal drainage[J]. Dig Dis Sci, 2001, 46(11):2456.
11. Kompan L, Kremzar B, Gadzijev E. Effects of early enteral nutrition on intestinal permeability and the development of multipleorgan failureafter multiple injury[J]. Intensive Care Med, 1999, 25(2):157-161.
12. 顧葆春, 邢銳, 文強, 等. 危重病人早期腸內營養的臨床應用分析[J]. 腸內與腸外營養, 2004, 11(1):20-22.
13. 戴秀華, 趙寶春, 楊立明, 等. 不同類型炎癥中C反應蛋白水平與基因型差異及其意義[J]. 中國感染控制雜志, 2006, 5(2):113-116.
14. Anderson DG, Mc Naught CE, Mac Fie, et al. Randomized clinical trial of multimodal optimization and standard perioperative surgical care[J]. Br J Surg, 2003, 90(1):1497-1504.
15. 江志偉, 黎介壽, 汪志明, 等. 加速康復外科用于腹主動脈瘤患者價值探討[J]. 中國實用外科雜志, 2008, 28(1):59-61.

West China Medical Journal

Application of Fast Track Surgery in Patients with Abdominal Aortic Aneurysm

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