Kang Chunmei, Qiao Xueliang, Sun Meiling
1 Department of Gynaecology and Obstetrics, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
2 PIVAS of The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
J Int Med Res. 2019 Jun;47(6):2580-2590. doi: 10.1177/0300060519847853. Epub 2019 May 21.
This study aimed to examine application of fast-track surgery (FTS) in the perioperative period of laparoscopic partial nephrectomy for renal tumors, and to discuss its effects and safety.
Eighty patients who received laparoscopic partial nephrectomy in urinary surgery from January 2016 to December 2017 were selected and randomly classified as the observation group (n = 40) and control group (n = 40). Traditional treatments were performed in the control group, while FTS was applied in the observation group. The complication rate after the operation was recorded.
The duration of the operation and intraoperative blood loss were not different between the groups. The duration of anesthesia and fluid transfusion volume on the day of the operation were significantly less in the observation group than in the control group. The rates of infection of the incisional wound, nausea and vomiting, and anastomotic stomal bleeding were not significantly different between the groups. However, the rates of postoperative urinary tract infection, abdominal distension, thirst, hypothermia, and pulmonary infection were significantly lower in the observation group than in the control group.
Application of FTS in laparoscopic partial nephrectomy contributes to postoperative recovery and reduction of postoperative complications.
本研究旨在探讨快速康复外科（FTS）在肾肿瘤腹腔镜部分肾切除术围手术期的应用，并探讨其效果及安全性。
选取2016年1月至2017年12月在泌尿外科接受腹腔镜部分肾切除术的80例患者，随机分为观察组（n = 40）和对照组（n = 40）。对照组采用传统治疗方法，观察组应用FTS。记录术后并发症发生率。
两组手术时间和术中出血量无差异。观察组手术当日麻醉时间和输液量明显少于对照组。两组切口感染、恶心呕吐及吻合口出血发生率无明显差异。然而，观察组术后尿路感染、腹胀、口渴、体温过低及肺部感染发生率明显低于对照组。
FTS在腹腔镜部分肾切除术中的应用有助于术后恢复并减少术后并发症。
