Fast-Track Recovery Program After Major Liver Resection

医学 快速通道 围手术期 外科 随机化 切除术 并发症 随机对照试验
作者
Μαρία Καπρίτσου,Dimitrios Korkolis,Μαργαρίτα Γιαννακοπούλου,Ioannis Kaklamanos,Maria Konstantinou,Θεόδωρος Κατσούλας,Panagiotis Kiekkas,Evangelos Konstantinou
出处
期刊:Gastroenterology Nursing [Lippincott Williams & Wilkins]
卷期号:41 (2): 104-110 被引量:6
标识
DOI:10.1097/sga.0000000000000306
摘要

The objective of this study was to compare fast-track (FT) recovery protocol with the conventional one in patients treated with major liver resection by evaluating perioperative morbidity, length of hospitalization, and readmission rate. Sixty-two patients suffering from malignant liver tumors were surgically treated from May 2012 to April 2014. After randomization, they were prospectively divided into two groups: Group A patients (n = 32) followed FT recovery protocol and Group B patients (n = 30) were treated with the conventional (CON) protocol. Postoperative morbidity, readmission rate, and median hospital stay in the two groups were studied. Fast-track protocol was associated with a decreased complication (25%, p = .002), whereas the risk of postoperative morbidity was 2.4 times higher in patients treated with the CON protocol (60%, p = .002). Readmission rate was not significantly different between the two groups (6.25%, p = .35). Age (p = .382) and body mass index (p = .818) were not a suspending factor for following the FT protocol. Overall length of stay (postoperative days) in the FT group was (mean ± SD) 5.75 ± .5 and in the CON group was 13.5 ± 6.7 (p < .001). Fast-track recovery protocol seems to be safe and particularly efficient in patients undergoing major liver resections.
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