Implementation Of Fast Tract Surgery In Patients Undergoing Laparoscopic Hepatectomy

China is a big country of hepatitis and hepatocellular carcinoma. Hepatectomy is traditional treatment for primary and secondary tumors. However, hepatectomy has many shortcomings, such as high postoperative stress, long postoperative recovery time, complications and high mortality rate. The traditional hepatectomy associated with longer postoperative recovery time and higher cost of treatment have been greatly reducing the patients’ satisfaction. In recent years, laparoscopic techniques enable minimally invasive hepatectomy and is more widely used in clinical surgery. Fast track surgery theory can also enhance perioperative management, reducing the patients’ physical and mental stress, promoting postoperative recovery. This paper assesses the effect of fast track surgery used in laparoscopic hepatectomy. Objective:Discussion the role of fast track surgery used in laparoscopic hepatectomy: accelerated postoperative recovery, reduce stress response, and reduce the incidence of postoperative complications. Materials and Methods:This retrospective study has chosen 46 liver cancer patients who underwent laparoscopic liver resection of liver from December 2013 to December 2015 in First Hospital of Jilin University. According to their surgical procedures, the patients were divided into FTS Group and the traditional group. Discussion fast track surgery used in laparoscopic liver resection: accelerated postoperative recovery, reduce stress response, and reduce the incidence of postoperative complications. Result:In comparison with the traditional group, hospital stay time in FTS group was shortened significantly and hospitalization costs was reduced with significant difference(P<0.05);The exhaust time and the time of drainage tube pulled is earlier in FTS Group with significant difference(P<0.05);Compared with traditional group, postoperative C reaction protein, albumin, and ALT is significantly different(P<0.05);FTS group and traditional group has no significant difference(P>0.05) in the postoperative complication rate. Conclusion:1. FTS group and traditional group had no significant difference in the control of postoperative complication rate;2. FTS concept in laparoscopic liver resection perioperative period can reduce hospital stay time and reduce hospital costs;3. FTS concept used in laparoscopic liver resection patients can reduce the perioperative stress response, and promote the recovery of liver function.