Fast track surgery in colorectal surgery applications.docVIP

 PAGE \* MERGEFORMAT 4 Fast track surgery in colorectal surgery applications [Abstract] Objective To investigate the fast-track surgery (FTS) in colorectal surgery. Methods 80 patients with colorectal disease, the need for patients with partial colon resection were randomly divided into two groups, each new idea with FTS treatment (new concept of group) and traditional methods of treatment (control group). Comparison of two groups after the first time, exhaust, defecation time, nausea, vomiting incidence, complication rates and hospital re-admission rates and total cost. New Concept Group Results: After the first exhaust time 1.0 ~ 3.4 d, median 2.4 d; the first defecation time 1.8 ~ 4.2 d, median 2.8 d; nausea and vomiting rates were 17.5% and 7.5% ; the overall complication rate was 5.0%; re-admission rate of 5.0%; the total cost of hospitalization (1.96 ± 0.44) million (1.37 ~ 3.55 million). Control group: after the first discharge time of 1.8 ~ 5.2 d, median 2.8 d; defecation time of 2.5 ~ 6.0 d, median 3.4 d; nausea and vomiting rates were 15.0% and 10.0%; total complications The incidence of 22.5%; re-admission rate of 2.5%; the total cost of hospitalization (2.26 ± 0.58) million (1.84 ~ 52.4 thousand yuan). Group 2 for the first time the exhaust and defecation time, complication rate, compared the total cost of hospitalization were statistically significant differences. Conclusion FTS treatment can effectively promote new concepts of colorectal surgery recovery of gastrointestinal function and reduce the incidence of overall complications, save the total cost of hospitalization. [Keywords:] Fast track surgery in colorectal gastrointestinal surgery Fast track surgery (fast  track surgery, FTS) study began in the early 1990s, the United States, Germany, Denmark and other countries have carried out a feasibility study and obtained satisfactory results [1  3], the domestic Sichuan University also has research in this area [4]. FTS central idea is: b