快速康复外科理念在食管癌治疗中的应用

目的探讨快速康复外科理念在食管癌患者围手术期的应用及对患者的临床结局的影响。方法收集2011年1-6月间南京医科大学附属淮安第一医院胸外科接受食管癌根治术的食管鳞癌患者117例,其中4-6月63例（研究组）,围手术期采用快速康复外科理念进行处理：1～3月接受手术54例（对照组）,围手术期按常规处理。结果研究组术后排气时间、术后拔除胸腔引流管时间、术后住院时间及住院总费用均显著低于对照组（P〈O．05）：手术时间两组差异无统计学意义（P〉0．05）。研究组和对照组总并发症的发生率分别为7．9％（5／63）和24．1％（13／54）,差异有统计学意义（P〈0．05）。结论食管癌患者围手术期应用快速康复外科理念,可促进术后肠功能恢复．减少术后并发症发生率．从而改善患者的临床结局．

Application of fast-track surgery in the management of patients with esophageal cancer

Objective To evaluate the influence of fast-track surgery in perioperative period on the clinical outcomes of patients with esophageal cancer. Methods Clinical data of 117 patients with esophageal cancer between January 2011 and June 2011 were retrospectively analyzed. Sixty-three cases （study group） were treated with fast-track surgery and 54 cases （control group） were treated according to routine protocol in the perioperative period. Results The operative time, time to drainage tube removal, and length of hospital stay were significantly shorter in the study group than those in the control group（all P〈0.05）. Compared with the control group, the medical cost was lower（P〈0.05）. The overall postoperative complication rate was 7.9% in the study group and 24.1% in the control group （P〈 0.05）. Conclusion Fast-track surgery in the perioperative period for patients with esophageal cancer can promote bowel function recovery and decrease morbidity.