加速康复外科治疗手术切除肝癌患者的价值探讨

目的比较加速康复外科与传统围手术期处理肝癌切除术患者的安全性及有效性。方法采用加速康复外科治疗23例原发性肝癌切除术病人,采用传统方法进行围手术期处理30例原发性肝癌病人,比较两组病人术后住院时间、肠道恢复排气时间、肝脏功能变化和住院费用情况。结果两组患者术后肛门开始排气时间、首次排便时间比较,差异有显著意义(P0.05);加速康复外科治疗患者较传统治疗住院时间缩短、住院费用降低(P0.05);两组病人术后第3天和第5天谷丙转氨酶、总胆红素、血清白蛋白和前白蛋白水平有显著性差异(P0.05)。结论行加速康复外科治疗肝癌切除术患者是安全、有效的方法,既有利病人术后器官功能的康复,又可以减少住院时间与治疗费用。

Study of fast track surgery in primary liver cancer patients undergoing lobular resection

Objective This study was designed to compare fast track surgery with conventional perioperative management in primary hepatic cancer patients undergoing lobular resection.Methods 53 primary hepatic cancer patients undergoing lobular resection were recruited for this comparative study.23 patients received perioperative fast track rehabilitation,and 30 received conventional perioperative care.Outcomes were assessed by postoperative hospital stay,liver function tests and medical costs.Results Fast track rehabilitation group was associated with a significantly shorter postoperative hospital stay,less medical costs,earlier first passage of flatus in the postoperative period compared with conventional care group.Conclusion Fast track rehabilitation is feasible and effective in primary liver cancer patients undergoing resection.