摘要
目的:探讨Fast track surgery(FTS)在胆石病治疗中的应用价值。方法:统计应用FTS理念实施MC手术31000例和胆管探查原位缝合术1215例的临床资料。结果:MC发生并发症为30例(0.10%),其中胆管损伤率为0.05%,24h胃肠功能恢复率为87.7%,平均5.2天出院。胆管探查原位缝合术仅有5例引流量超过100ml/d,未发生严重并发症,平均7.3天出院。结论:在胆石病治疗过程中,遵循FTS理念,强化围手术期的处理,采用微创手术,减少医疗措施带来的应激反应,降低了手术并发症的发生率,缩短住院时间,加速病人的康复。
Objective： To discuss the applied value ofchololithiasis by Fast-track-surgery. Method： under the procedure of Fast-track-surgery, 31000 cases of minicholecystectomy （MC） and 1215 cases common bile duct （CBD） exploration with primary suture were retrospectively analyzed . result. 30 cases of MC occurred complication （0.10%）, bile-duct injury rate was 0.05% gastroenteric function resume rate in 24h was 87.7%, the average hospital stay was 5.2 days. only 5 cases which undergone direct suture on CBD were found bile-duct fluid . The volume of drainage was over 100ml daily , without serious complication , The average hospital stay was 7.3 days. Conclusion： During chololithiasis treatment, we abided by Fast-track-surgery conception, serious perioperative preparation and minitrauma technique, we decreased the stress resporse of cure and nurse. Reduced complication rate of operation , abbreviated the hospital stay. Accelerate the patients recovery.
关键词
加速康复外科
胆石病
微创手术
Fast-track-surgery
chololithiasis
minitrauma technique
