Application of Fast Track surgery in Gastrointestinal Tract Injury_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WUHong-biao ¹ ,  JIANGBo-jian ²

1. Department of General Surgery, People, s Hospital of Wugang, Wugang 422400, Hunan Province, China;
2. Department of General Surgery, No. 3 People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201900, China;

Corresponding?author：

JIANGBo-jian, Email: jiang_md@hotmail.com

Keywords：

Gastrointestinal tract injury; Fast track surgery

DOI：

10.7507/1007-9424.20150354

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the safety, feasibility, and efficacy of fast track surgery (FTS) in gastrointestinal tract injury. Methods The data of 61 patients with gastrointestinal tract injury from July 2007 to July 2013 were retrospectively analyzed, among whom 29 patients were received FTS (FTS group) and 32 patients were received conventional care (control group). The first flatus and defecation time, hospital stay, rates of wound infection and lung infection, and the mortality were compared between these two groups. Results The average first flatus and defecation time and the average hospital stay in the FTS group were significantly shorter than those in the control group (2.21 d versus 3.16 d, P=0.000; 7.45 d versus 9.78 d, P=0.000). The rate of lung infection in the FTS group were significantly lower than that in the control group[3.4% (1/29) versus 21.9% (7/32), P=0.033]. The rate of wound infection and the mortality had no significant differences between the FST group and the control group[3.4% (1/29) versus 15.6% (5/32), P=0.111; 0(0/29) versus 3.1% (1/32), P=0.337]. Conclusions FTS is safe and effective among those gastrointestinal tract injury patients who visited the hospital in time and injury limited. FTS could promote defecate, shorter the hospital stay, and don't increase the complications and mortality.

Citation： WUHong-biao, JIANGBo-jian. Application of Fast Track surgery in Gastrointestinal Tract Injury. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(11): 1363-1365. doi: 10.7507/1007-9424.20150354 Copy

1.	?Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284):473-476.
2.	Pruthi RS, Nielsen M, Smith A, et al. Fast track program in patients undergoing radical cystectomy:results in 362 consecutive patients. J Am Coll Surg, 2010, 210(1):93-99.
3.	Campagnacci R, Patrizi A, Piangatelli C, et al. A flexible concept of fast track surgery for laparoscopic colorectal resections. Minerva Chir, 2010, 65(6):609-617.
4.	Rodríguez-Chavez LL, Kuri-Alfaro J, Avila-Vanzzini N, et al. Short-stay programme in cardiac surgery. Analysis of short-term outcomes of 533 cases in five years. Arch Cardiol Mex, 2010, 80(2):100-107.
5.	Debus ES, Kruska P, Ivoghli A, et al. Fast track in vascular surgery. Chirurg, 2009, 80(8):711-718.
6.	Larson DW, Batdorf NJ, Touzios JG, et al. A fast-track recovery protocol improves outcomes in elective laparoscopic colectomy for diverticulitis. J Am Coll Surg, 2010, 211(4):485-489.
7.	李艷華, 程黎陽, 謝正勇, 等.快速康復外科新理念在結直腸手術中的應用.中國現代普通外科進展, 2009, 12(5):405-408.
8.	王建國, 高靜濤, 李慶懷, 等.快速康復外科理念在膽腸吻合術中的臨床應用效果分析.肝膽胰外科雜志, 2012, 24(2):103-105, 109.
9.	江宗興, 汪濤, 蔣志偉, 等.快速康復外科在LC聯合ERCP治療膽囊結石合并膽總管結石中的應用.中國普外基礎與臨床雜志, 2013, 19(8):922-925.
10.	梁輝, 管蔚, 吳鴻浩, 等.快速康復外科在110例腹腔鏡代謝手術中的應用.中華胃腸外科雜志, 2014, 17(7):720-721.
11.	栗超躍, 趙黎明, 婁岳, 等.快速康復外科對神經外科手術療效的影響.中國神經精神疾病雜志, 2014, 40(10):620-623.
12.	李印.快速康復外科在食管癌治療中的應用.中華胃腸外科雜志, 2014, 17(9):865-868.
13.	韓志鋒, 蘇宜江, 李坤生, 等.快速康復外科在肋骨骨折手術中的應用.中國胸心血管外科臨床雜志, 2014, 21(1):21-24.
14.	徐偉光, 殷利明, 鐘德泉, 等.快速康復外科在基底節區腦出血治療中的實踐及探討.實用醫學雜志, 2015, 31(1):70-72.
15.	石毅軍.快速康復外科在上消化道穿孔修補手術中的臨床實踐報告.臨床和實驗醫學雜志, 2015, 14(2):132-134.
16.	洪合, 潘明新, 高毅, 等.快速康復外科在肝切除患者的應用.中華肝膽外科雜志, 2015, 21(2):134-137.
17.	徐瑜杰, 王震, 陳俊強.快速康復外科在胃癌根治術中應用的系統評價.中國普外基礎與臨床雜志, 2015, 22(4):423-433.
18.	牟正華, 周怡南, 陳松濤, 等.快速康復外科新理念應用在結直腸癌患者圍手術期的臨床研究.吉林醫學, 2009, 30(19):2222-2223.
19.	Bu J, Li N, Huang X, et al. Feasibility of Fast-Track surgery in elderly patients with gastric cancer. J Gastrointest Surg, 2015, 19(8):1391-1398.
20.	Wang D, Kong Y, Zhong B, et al. Fast-track surgery improves postoperative recovery in patients with gastric cancer:a randomized comparison with conventional postoperative care. J Gastrointest Surg, 2010, 14(4):620-627.
21.	Baird G, Maxson P, Wrobleski D, et al. Fast-track colorectal surgery program reduces hospital length of stay. Clin Nurse Spec, 2010, 24(4):202-208.
22.	Wennstr?m B, Stomberg MW, Modin M, et al. Patient symptoms after colonic surgery in the era of enhanced recovery-a long-term follow-up. J Clin Nurs, 2010, 19(5/6):666-672.
23.	Feo CV, Lanzara S, Sortini D, et al. Fast track postoperative management after elective colorectal surgery:a controlled trail. Am Surg, 2009, 75(12):1247-1251.
24.	Gouvas N, Tan EM, Windsor A, et al. Fast-track vs standard care in colorectal surgery:a meta-analysis update. Int J Colorectal Dis, 2009, 24(10):1119-1131.
25.	江志偉, 李寧, 黎介壽.快速康復外科的概念及臨床意義.中國實用外科雜志, 2007, 27(2):131-133.

1. ?Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284):473-476.
2. Pruthi RS, Nielsen M, Smith A, et al. Fast track program in patients undergoing radical cystectomy:results in 362 consecutive patients. J Am Coll Surg, 2010, 210(1):93-99.
3. Campagnacci R, Patrizi A, Piangatelli C, et al. A flexible concept of fast track surgery for laparoscopic colorectal resections. Minerva Chir, 2010, 65(6):609-617.
4. Rodríguez-Chavez LL, Kuri-Alfaro J, Avila-Vanzzini N, et al. Short-stay programme in cardiac surgery. Analysis of short-term outcomes of 533 cases in five years. Arch Cardiol Mex, 2010, 80(2):100-107.
5. Debus ES, Kruska P, Ivoghli A, et al. Fast track in vascular surgery. Chirurg, 2009, 80(8):711-718.
6. Larson DW, Batdorf NJ, Touzios JG, et al. A fast-track recovery protocol improves outcomes in elective laparoscopic colectomy for diverticulitis. J Am Coll Surg, 2010, 211(4):485-489.
7. 李艷華, 程黎陽, 謝正勇, 等.快速康復外科新理念在結直腸手術中的應用.中國現代普通外科進展, 2009, 12(5):405-408.
8. 王建國, 高靜濤, 李慶懷, 等.快速康復外科理念在膽腸吻合術中的臨床應用效果分析.肝膽胰外科雜志, 2012, 24(2):103-105, 109.
9. 江宗興, 汪濤, 蔣志偉, 等.快速康復外科在LC聯合ERCP治療膽囊結石合并膽總管結石中的應用.中國普外基礎與臨床雜志, 2013, 19(8):922-925.
10. 梁輝, 管蔚, 吳鴻浩, 等.快速康復外科在110例腹腔鏡代謝手術中的應用.中華胃腸外科雜志, 2014, 17(7):720-721.
11. 栗超躍, 趙黎明, 婁岳, 等.快速康復外科對神經外科手術療效的影響.中國神經精神疾病雜志, 2014, 40(10):620-623.
12. 李印.快速康復外科在食管癌治療中的應用.中華胃腸外科雜志, 2014, 17(9):865-868.
13. 韓志鋒, 蘇宜江, 李坤生, 等.快速康復外科在肋骨骨折手術中的應用.中國胸心血管外科臨床雜志, 2014, 21(1):21-24.
14. 徐偉光, 殷利明, 鐘德泉, 等.快速康復外科在基底節區腦出血治療中的實踐及探討.實用醫學雜志, 2015, 31(1):70-72.
15. 石毅軍.快速康復外科在上消化道穿孔修補手術中的臨床實踐報告.臨床和實驗醫學雜志, 2015, 14(2):132-134.
16. 洪合, 潘明新, 高毅, 等.快速康復外科在肝切除患者的應用.中華肝膽外科雜志, 2015, 21(2):134-137.
17. 徐瑜杰, 王震, 陳俊強.快速康復外科在胃癌根治術中應用的系統評價.中國普外基礎與臨床雜志, 2015, 22(4):423-433.
18. 牟正華, 周怡南, 陳松濤, 等.快速康復外科新理念應用在結直腸癌患者圍手術期的臨床研究.吉林醫學, 2009, 30(19):2222-2223.
19. Bu J, Li N, Huang X, et al. Feasibility of Fast-Track surgery in elderly patients with gastric cancer. J Gastrointest Surg, 2015, 19(8):1391-1398.
20. Wang D, Kong Y, Zhong B, et al. Fast-track surgery improves postoperative recovery in patients with gastric cancer:a randomized comparison with conventional postoperative care. J Gastrointest Surg, 2010, 14(4):620-627.
21. Baird G, Maxson P, Wrobleski D, et al. Fast-track colorectal surgery program reduces hospital length of stay. Clin Nurse Spec, 2010, 24(4):202-208.
22. Wennstr?m B, Stomberg MW, Modin M, et al. Patient symptoms after colonic surgery in the era of enhanced recovery-a long-term follow-up. J Clin Nurs, 2010, 19(5/6):666-672.
23. Feo CV, Lanzara S, Sortini D, et al. Fast track postoperative management after elective colorectal surgery:a controlled trail. Am Surg, 2009, 75(12):1247-1251.
24. Gouvas N, Tan EM, Windsor A, et al. Fast-track vs standard care in colorectal surgery:a meta-analysis update. Int J Colorectal Dis, 2009, 24(10):1119-1131.
25. 江志偉, 李寧, 黎介壽.快速康復外科的概念及臨床意義.中國實用外科雜志, 2007, 27(2):131-133.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Fast Track surgery in Gastrointestinal Tract Injury

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content