快速康复外科在腹腔镜胆总管探查取石术中的应用
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谭黄业 E-mail:thy59yy@126.com

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Application of fast track surgery in laparoscopic common bile duct exploration
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    摘要:

    目的:探讨快速康复外科理念在腹腔镜胆总管探查取石术(LCBDE)中的应用价值。
    方法:对60例择期行LCBDE患者,采用快速康复外科理念指导下的围术期处理方法(n=28)和传统的围术期处理方法(n=32),比较两组术后下床活动时间、进食时间、排气排便时间、住院天数及住院费用、并发症的差异。
    结果:快速康复外科组术后进食时间、排便排气时间、下床活动时间、住院天数明显缩短、住院费用明显减少(P<0.05),两组术后并发症比较差异无统计学意义(P>0.05)。
    结论:快速康复外科理念在LCBDE患者中的应用安全、经济、有效,具有较高的临床应用价值。

    Abstract:

    Objective:To study the value and feasibility of fast track surgery (FTS) in laparoscopic common bile duct exploration.
    Methods:Sixty cases undergoing simple laparoscopic common bile duct exploration were selected for the perioperative therapy of fast track surgery(n=28)or conventional surgery(n=32). The time for bowel flatus and food intake and ambulation,hospital stay and cost, and incidence of complications  after operation were compared.
    Results:After operation,the time of bowel flatus, food intake, ambulation and hospital stay in fast track surgery group were significantly shorter than those in conventional surgery group(P<0.05).Hospital cost was also less(P<0.05) in FTS group; while the postoperative complications of the two groups showed no significant difference(P>0.05).
    Conclusions:Fast track surgery in laparoscopic common bile duct exploration patients is safe,economical,effective,and has very high clinical value.

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谭黄业|樊献军|肖咏梅|张立峰|龙游|廖斌.快速康复外科在腹腔镜胆总管探查取石术中的应用[J].中国普通外科杂志,2011,20(2):146-149.
DOI:10.7659/j. issn.1005-6947.2011.02.010

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  • 收稿日期:2010-11-23
  • 最后修改日期:2011-01-10
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  • 在线发布日期: 2011-02-15