Application of fast track surgery during perioperative period in abdominal injury / 解放军医学杂志

ABSTRACT

Objective To explore the safety and effectiveness of fast track surgery (FTS) during perioperative period in abdominal injury. Methods Two hundred and fifty-eight patients with single-organ or tissue damage of abdomen were selected from the 59 Hospital of PLA’s Abdominal Surgery Center during Jan. 2011 and Dec. 2014. These patients were divided into FTS group (n=14l) and control group (n=117). FTS group received FTS treatment during the perioperative period, and the control group received traditional treatment. Anesthesia recovery time, extubation time, C-reactive protein (CRP) levels before and after operation (1st and 5th day), postoperative lactate clearance rate, venting and defecation time, hospital stay and cost, occurrence of adverse reactions and complications were compared between the two groups. Results All the 258 patients were cured. Compared with control group, patients in FTS group got shortened anesthesia recovery time and extubation time, lower CRP levels at 1st and 5th day after operation, higher postoperative lactate clearance rate, and markedly shortened venting and defecation time and hospital stay, and the hospital cost also decreased obviously (P0.05). Conclusion It is safe and efficient to use FTS during perioperative period in abdominal injury, and could accelerate the recovery.