The Value Of Using Fast-Track Surgery In Colon Cancer Surgery

OBJECTIVES: To investigate the value of using Fast-track surgery in colon cancer surgery comparing with the traditional treatment.METHODS: 70 colon cancer patients had been divided into two groups: 40 patients given traditional treatment as control group, and 30 patients given Fast-track surgery treatment as experimental group. Time of recovering flatus passing and defecating, changes in white blood cell counting, and amounts of PA,TP,ALB in both preoperative and postoperative periods were documented to observe the recovery of bowel functions, the inflammatory responses and protein losses of body after operation.RESULTS: Time of recovering flatus passing was 3.23±0.68d in experimental group and 4.45±0.88d in control group, and time of recovering defecating of two groups were 4.00±0.79d and 5.60±1.01d respectively. Comparing with the control group,the experimental group got earlier recovery of flatus passing and defecating functions (P < 0. 05). White blood cell counting after operation was 10.30±1.57×10~9 in experimental group and 13.06±2.63×10~9 in control group, demonstrating that the experimental group had lower white blood cell counting after operation (P < 0. 05). After surgery, the TP, PA, ALB of experimental group patients were 61.00±5.30 g/L, 164.93±41.84 g/L and 35.23±2.58 g/L, while in control group the TP, PA, ALB were 49.23±3.65 g/L, 104.25±20.53 g/L and 26.96±3.47 g/L respectively, which indicated that the experimental group had less body protein losses (P < 0. 05). The complications were not significantly different between the two groups (P >0.05).CONCLUSIONS: This study showed that comparing with the traditional treatment, Fast-track surgery treatment had better benefits in accelerating recovery of bowel functions, reducing inflammatory responses,and decreasing the losses of body protein. The complications were not significantly different. Fast-track surgery treatment is safe and valuable in colon cancer surgery.