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01.12.2014 | Research article | Ausgabe 1/2014 Open Access

BMC Gastroenterology 1/2014

“Fast track” rehabilitation after gastric cancer resection: experience with 80 consecutive cases

Zeitschrift:
BMC Gastroenterology > Ausgabe 1/2014
Autoren:
Jing-xiang Song, Xiao-huang Tu, Bing Wang, Chen Lin, Zai-zhong Zhang, Li-ying Lin, Lie Wang
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

JXS: study design, literature research, clinical studies, manuscript preparation, and manuscript editing. XHT: study concepts, definition of intellectual content, clinical studies, and manuscript review. BW: clinical studies, and data acquisition. CL: clinical studies, statistical analysis, and data acquisition. ZZZ: clinical studies, data analysis, and manuscript preparation. LYL: clinical studies, and data acquisition. LW: guarantor of integrity of the entire study, study concepts, study design, definition of intellectual content, and manuscript review. All authors read and approved the final manuscript.

Abstract

Background

To evaluate the safety, efficacy and outcomes of fast-track rehabilitation applied to gastric cancer proximal, distal and total gastrectomy.

Methods

Eighty consecutive patients undergoing gastric cancer resection performed by a single surgeon, received perioperative multimodal rehabilitation. Demographic and operative data, gastrointestinal function, postoperative hospital stays, surgical and general complications and mortality were assessed prospectively.

Results

Of the 80 patients (mean age 56.3 years), 10 (12.5%) received proximal subtotal gastrectomy (Billroth I), 38 (47.5%) received distal (Billroth II), and 32 (40%) received total gastrectomy (Roux-en-Y). Mean operative time was 104.9 minutes and intraoperative blood loss was 281.9 ml. Time to first flatus was 2.8 ± 0.5 postoperative days. Patients were discharged at a mean of 5.3 ± 2.2 postoperative days; 30-day readmission rate was 3.8%. In-hospital mortality was 0%; general and surgical complications were both 5%.

Conclusions

Fast-track multimodal rehabilitation is feasible and safe in patients undergoing gastric cancer resection and may reduce time to first flatus and postoperative hospital stays.
Literatur
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