【摘要】 目的探讨快速康复外科在结直肠癌根治术中应用的价值。方法按患者同意原则,将136例结直肠癌患者分成三组分别进行根治性切除术:快速康复外科组50例;腹腔镜手术组21例;开腹组65例,比较三组患者术后恢复情况。结果平均术后住院时间:快速康复外科组7.0d,腹腔镜手术组8.5d,开腹组12.5 d(P<0.05);术后30d内并发症发生率:快速康复外科组为10.0%,腹腔镜手术组为14.3%,开腹组为15.2%(P>0.05)。结论快速康复外科应用于结直肠癌根治是安全的,与腹腔镜手术、开腹手术相比,患者术后康复快、术后并发症少、住院时间缩短。更多还原

【Abstract】 Objective To evaluate the value of fast-track surgery in radical resection for coloretal cancer. Methods One hundred and thirty-six patients with colorectal cancer were involved in the non-randomized, prospective controlled study,and were divided into three groups,group 1 containing 50 consecutive patients underwent fast-track colorectal surgery,group 2 ( 21 patients) laparoscopic surgery, and group 3 (65 patients) conventional care. Then their postoperative rehabilitation were observed and compared.Results Median hospital stay of three groups were 7.0 d,8.5 d, 12.5 d respectively(P < 0.05 ).There was no significant difference in perioperative complications amog three groups(10.0% ,14.3% , 15.2% , P>0.05).Conclusion Fast-track surgery is able to accelerate the rehabilitation of the patients with radical resection for coloretal cancer,compared to laparoscopic surgery and conventional care.更多还原