期刊
INTERNATIONAL JOURNAL OF SURGERY
卷 15, 期 -, 页码 129-133出版社
ELSEVIER SCIENCE BV
DOI: 10.1016/j.ijsu.2015.01.007
关键词
Pancreaticoduodenectomy; Fast-track surgery; Enteral nutrition
类别
资金
- Second Military Medical University
Background: Pancreaticoduodenectomy (PD) is one of the most difficult and dangerous operations in general surgery. This study used the concept of fast-track surgery (FTS) technique, which involves pain control, early enteral nutrition and other measures during the preoperative period, to evaluate the rate of complications and shorter hospitalization. Methods: This retrospective, observational study was conducted between January 2009 and January 2013. A total of 635 patients underwent PD in the Department of Pancreatic Surgery at ChangHai Hospital (Shanghai, China). 325 patients had FTS and 310 patients received the traditional pathway of treatment. The incidence of postoperative complications, the serum albumin level, expenses, postoperative hospitalization, and readmission rates were compared. Results: There were no significant differences in the blood transfusion volume, nasogastric intubation, and readmission rates (p > 0.05). However, the FTS group had less postoperative hospitalization, fewer expenses and a lower incidence of postoperative complications compared with the control group (p< 0.05). Conclusion: Pancreaticoduodenectomy can be further optimized by the use of FTS methods, which can reduce the incidence of in hospital postoperative complications and expenses without increasing the risk of readmission. (C) 2015 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据