Abstract: Objective:To investigate the clinical value of fast track surgery (FTS) in perioperative mana gement of laparoscopic cholecystectomy in the plateau.
Methods:The clinical data of 88 patients with gall stone who received laparoscopic cholecystectomy at the No. 115 Central Hospital of PLA from March 2011 to July 2012 were retrospectively analyzed. All the patients were randomly divided into the control group (44 patients) and the observation group (44 patients). Patients in the control group received traditional perioperative treatment, while patients in the observation group received FTS treatment. Differences in the operation time, time to out of bed activity, time for recovery of bowel function, duration of postoperative hospital stay, medical treatment cost and incidence of complications between the 2 groups were compared. The measurement data were shown in x±s, and analyzed using the t test, and the count data were analyzed using the chi square test.
Results:The operation time of the control group and the observation group were (63±19)minutes and (59±21)minutes, with no significant difference between the 2 groups (t=-1.34, P>0.05). The time for out of bed activity, recovery of bowel function, duration of postoperative hospital stay and medical treatment cost were (25±6)hours, (36±9)hours, (5.6±1.3) days, (10.8±1.1)×10 3 yuan in the control group, and (10±4)hours, (23±5)hours, (3.1± 1.3)days, (7.9±1.3)×10 3 yuan in the observation group, with significant differences between the 2 groups (t=-3.81, -3.67,-6.40,-4.08, P<0.05). The incidences of complications in the control group and the observation group were 4.5%(2/44) and 2.3%(1/44), respectively, with no significant difference between the 2 groups (χ ²=3.01, P>0.05).
Conclusion:FTS can promote the recovery of patients, decrease duration of hospital stay and medical treatment cost without increasing incidence of complication for patients who received laparoscopic cholecystectomy in the plateau.