摘要
目的探讨快速康复外科理念在腹腔镜胆总管探查取石术(LCBDE)中的应用价值。方法对60例择期行LCBDE患者,采用快速康复外科理念指导下的围术期处理方法(n=28)和传统的围术期处理方法(n=32),比较两组术后下床活动时间、进食时间、排气排便时间、住院天数及住院费用、并发症的差异。结果快速康复外科组术后进食时间、排便排气时间、下床活动时间、住院天数明显缩短、住院费用明显减少(P<0.05),两组术后并发症比较差异无统计学意义(P>0.05)。结论快速康复外科理念在LCBDE患者中的应用安全、经济、有效,具有较高的临床应用价值。
Objective To study the value and feasibility of fast track surgery（FTS） in laparoscopic common bile duct exploration.Methods Sixty cases undergoing simple laparoscopic common bile duct exploration were selected for the perioperative therapy of fast track surgery（n=28）or conventional surgery（n=32）.The time for bowel flatus and food intake and ambulation,hospital stay and cost,and incidence of complications after operation were compared.Results After operation,the time of bowel flatus,food intake,ambulation and hospital stay in fast track surgery group were significantly shorter than those in conventional surgery group（P0.05）.Hospital cost was also less（P0.05） in FTS group;while the postoperative complications of the two groups showed no significant difference（P0.05）.Conclusions Fast track surgery in laparoscopic common bile duct exploration patients is safe,economical,effective,and has very high clinical value.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2011年第2期146-149,共4页
China Journal of General Surgery
