Fast-track Surgery For Non-small Cell Lung Cancer Patients After Recovery On The Situation

Objective:The aim of this study was to evaluate the effect of accelerated rehabilitation surgery (fast-track surgery, FTS) on patients with non-small cell lung cancer who underwent thoracic surgery.Methods:Between January2010and January2013,80patients with NSCLC were enrolled in this study in Tianjin Dagang General Hospital.80patients were randomly divided into two groups, one is experimental group, another is control group. And each group includes40patients. We observed the changes of Serum prealbumin levels, pain score, pulmonary function and cytokines at the point of pre-operation, surgery completion, and the first day, third day, seventh day of post-operation.Results:1. In this study, all patients did not underwent preoperative chemotherapy or radiotherapy. All patientswere randomly divided into two groups, one is experimental group, another is control group. And each group includes40patients. There is no significance in gender, age, preoperative serum prealbumin levels, location of the tumor and surgical procedure between tht two groups.2. Serum prealbumin levels of this two groups were significantly decreased. However, the serum prealbumin levels of experimental group is obviously higher than control group at the point of the third day and seventh day of post-operation.3. Pain scores of experimental group is obviously better than control group at the point of6hour,12hour,24hour,48hour and72hour of post-operation.4. There is no significance between the two groups before the surgery for pulmonary function. However, pulmonary function of experimental group is better than control group at the point of the first day, third day, and seventh day of post-operation.5. There is no significance between the two groups before the surgery for cytokines. However, cytokines of experimental group is better than control group at the point of the first day, third day, and seventh day of post-operation. Conclusions:With the help ofFast-track surgery, the indicators of serum prealbumin levels, pain score, pulmonary function and cytokines of patients who underwent thoracic surgery can get early improvements. Because of the light stress reaction, light wound pain, early oral feeding, patients can get early improvements. Shortening the postoperative rehabilitation process is more in line with the physiological needs, and help improve the quality of medical care. And more patients and their families can receive it.