腹腔镜结直肠癌切除术后早期进食的安全性和有效性研究?

目的：探讨腹腔镜结直肠癌切除术后早期经口进食的安全性和促进术后恢复的有效性。方法前瞻性研究128例本院收治的经腹腔镜结直肠癌手术的患者，按是否采纳早期进食方案分为早期进食组(EOF 组)54例和传统进食组(TOF 组)74例。对两组年龄、性别、术前营养状况等基础指标，以及术后第1次下床时间、住院天数、使用镇痛药例数及并发症进行统计学分析。结果EOF 组患者术后第1次下床天数[(1.2±0.8)d vs .(2.5±1.3)d]、术后住院天数[(3.2±1.4)d vs .(5.3±1.6)d]均较 TOF 组明显缩短(P <0.01)。结论腹腔镜结直肠癌切除术后早期进食有利于患者快速康复，且不良反应与传统进食方案相近。

A study of the safety and efficacy of early diet after laparoscopic resection of colorectal cancer

Objective To analyze the safety and efficacy of early diet after laparoscopic resection of colorectal cancer.Methods A prospective study of 128 patients suffered laparoscopic surgery of colorectal cancer was done in our hospital.According to whether the adoption of early diet program,patients were divided into early oral group (EOF group,n=54)and traditional oral diet group (TOF group,n=74).Age,gender,preoperative nutritional status and other basic factors and postoperative ambulation time, postoperative hospital stay time,the number of cases the use of analgesics,complications of two groups were analyzed statistically. Results The first time of postoperative ambulation time and postoperative hospital stay time of EOF group were significantly re-duced compared TOF group [(1.2±0.8)d vs .(2.5±1.3)d]and [(3.2±1.4)d vs .(5.3±1.6)d](P <0.01).Conclusion Early diet after laparoscopic resection of colorectal cancer is good for patients fast recovery,and postoperative complications of two groups are similar.