“Fast Track”nasogastric decompression of rectal cancer surgery

作     者：Ka Li Zongguang Zhou Zengrong Chen Yi Zhang Cun Wang 

作者机构：Department of Gastrointestinal SurgeryWest China HospitalSichuan UniversityChengdu 610041China Institute of Digestive SurgeryWest China HospitalSichuan UniversityChengdu 610041China 

出 版 物：《Frontiers of Medicine》 (医学前沿（英文版）)

年 卷 期：2011年第5卷第3期

页      面：306-309页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：supported by the Foundation for the Author of National Excellent Doctoral Dissertation of China(Grant No.FANEDD 2007B66) by the National Science Foundation of China(Grant No.30801331) 

主　　题：fast track nasogastric decompression rectal cancer surgery 

摘      要：This study evaluates the application of fast track(FT)nasogastric decompression in patients who underwent anterior resection of rectal cancer.A randomized control trial was performed comparing the group with the fast track treatment(n=57)and the group with traditional nasogastric decompression(n=84).Preoperative characteristics and postoperative recovery indices were recorded and *** results indicate no significant differences in gender(P=0.614),age(P=0.653),tumor location(P=0.113),and TNM stages(P=0.054)were observed between the 2 *** differences in the type of resection,anastomosis,and adoption of protective colostomy were all not significant between the FT and the traditional *** the first 24 hours after surgery,the volume of nasogastric drainage averaged 197 ml in the FT group and 155 ml in the traditional group(P=0.197).The initiation of test-meal(P=0.000),semiliquid diet(P=0.002),and ordinary diet(P=0.008)were all significantly shorter in the FT ***,compared with the other group,the patients in the FT group enjoyed earlier removal of the abdominal drainage,urinary catheter,and shorter hospital stays(P=0.000).Based on a correlation test,the duration of nasogastric decompression is related to the time of test-meal and semiliquid *** routine usage of nasogastric decompression in rectal surgery is *** fast track procedure might help in facilitating postoperative functional and diet recovery,reducing the time of catheterization,and shortening hospital stay.