Fast Track Surgery Clinical Research Ideas In Total Gastrectomy Perioperative

Objective Explore the fast track surgery (FTS) concept in the surgical treatment of gastric cancer total gastrectomy surgery confining effect of the application of its circumference compared with conventional superiority.Method Select from Shanxi Coal General Hospital between June2012to March2014, patients with total gastrectomy for gastric cancer as FTS group30cases, and the other to select the corresponding period in patients with total gastrectomy gastric perioperative use of traditional methods of30cases as the control group. Two groups of patients surgical procedures and anesthesia by the same group and the same group of surgeons anesthetists proceed. Analysis FTS group and the traditional group (reactive protein level operative time, blood loss, postoperative day3C, drainage tube extubation time) in the surgery-related indicators and indicators of postoperative recovery (lung infection, bowel sounds Recovery Time first exhaust recovery time, intravenous infusion for a few days, postoperative complications, length of stay, costs and the amount of weight loss after2weeks) similarities and differences.Result Two groups of patients were cured, FTS treatment group compared with the conventional treatment group, after first exhaust time, recovery time of bowel sounds were significantly ahead of intravenous fluids for a few days, after two weeks of weight loss, hospital stay and hospital costs time, postoperative complications were significantly reduced (P<0.05); FTS to stress improvement is better than traditional methods, but there was no significant difference in lung infections (P>0.05).Conclusion1Application FTS concept of total gastrectomy in gastric cancer patients with perioperative is safe, can effectively promote the rehabilitation of patients after surgery to reduce the incidence of postoperative complications;2with the traditional method of comparing the perioperative period, total gastrectomy application FTS philosophy, can improve patient satisfaction, reduce patient trauma and perioperative stress response, reduce perioperative pain, promote early rehabilitation of patients. Shorter hospitals stay and reduce postoperative complications and improve postoperative organ function, reduce treatment costs, accelerate patient turnover rate.