|本期目录/Table of Contents|

[1]时昌杰,盛正成,张莹,等.加速康复外科技术在腹腔镜前列腺癌根治术患者围术期的应用[J].医学研究与战创伤救治(原医学研究生学报),2019,21(4):360-364.[doi:10.3969/j.issn.1672-271X.2019.04.006]
　SHI Chang-jie,SHENG Zheng-cheng,ZHANG Ying,et al.Application of fast track surgery in the perioperative period of laparoscopic radical prostatectomy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2019,21(4):360-364.[doi:10.3969/j.issn.1672-271X.2019.04.006]
点击复制

加速康复外科技术在腹腔镜前列腺癌根治术患者围术期的应用()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第21卷
期数:
2019年4期
页码:
360-364
栏目:
临床研究
出版日期:
2019-07-20

文章信息/Info

Title:
Application of fast track surgery in the perioperative period of laparoscopic radical prostatectomy
文章编号:
1672-271X（2019）04-0360-05
作者:
时昌杰;  盛正成;  张莹;  钟科;  周中魁;  傅点;  唐朝朋;  高建平;  周文泉;  徐振宇;  张征宇
作者单位：233000 蚌埠，蚌埠医学院研究生院(时昌杰)；210002 南京，东部战区总医院(原南京军区南京总医院）泌尿外科（盛正成、张 莹、钟 科、周中魁、傅 点、唐朝朋、高建平、周文泉、徐振宇、张征宇）
Author(s):
SHI Chang-jie1; 2;  SHENG Zheng-cheng1; 2;  ZHANG Ying1; 2;  ZHONG Ke1; 2;  ZHOU Zhong-kui1; 2;  FU Dian1; 2;  TANG Chao-peng1; 2;  GAO Jian-ping1; 2;  ZHOU Wen-quan1; 2;  XU Zhen-yu1; 2;  ZHANG Zheng-yu1; 2
(1.Graduate School，Bengbu Medical College，Bengbu 233000，Anhui，China; 2.Department of Urology，General Hospital of Eastern Theater Command，PLA，Nangjing 210002，Jiangsu，China)
关键词:
加速康复外科;  围术期;  前列腺癌;  腹腔镜检查
Keywords:
fast track surgery;  perioperative;  prostate cancer;  laparoscopy
分类号:
R737.25
DOI:
10.3969/j.issn.1672-271X.2019.04.006
文献标志码:
A
摘要:
目的 探究加速康复外科（FTS）在腹腔镜前列腺癌根治术患者围术期的应用效果。 方法 回顾性分析2012年1月至2018年3月东部战区总医院泌尿外科行腹腔镜前列腺癌根治术86例患者的临床资料，按围术期处理方式不同分为FTS组42例（进行FTS模式围术期处理）和对照组44例（进行传统围术期处理），比较分析2组患者围术期情况，包括首次下床活动时间、术后引流管及导尿管留置时间、术中出血量等。 结果 所有患者均在围术期恢复，无死亡。FTS组患者较对照组首次下床活动时间[（2.9±1.1）d vs （4.0±1.2）d]、术后肛门排气时间[（59.3±22.0）h） vs （76.8±30.1）h]、导管拔除时间[（10.3±3.1）d vs （13.9±3.5）d]、住院时间[（12.2±3.3）d vs （20.6±6.6）d]明显缩短（P<0.05），住院费用更低（P<0.01）。 结论 在FTS模式围术期处理的腹腔镜前列腺癌根治术是安全有效的，有利于患者早日康复，缩短患者住院时间，并可减轻患者负担。
Abstract:
Objective To investigate the application effect of accelerated rehabilitation surgery (FTS) in perioperative period of laparoscopic radical prostatectomy. Methods A retrospective analysis of the clinical data of 86 patients undergoing laparoscopic radical prostatectomy between January 2012 and March 2018 in the Department of Urology，General Hospital of Eastern Theater Command，was performed. Total 86 cases were divided into FTS group and control group according to the perioperative treatment. The FTS group underwent perioperative management in the FTS mode，and the control group underwent traditional perioperative management. The perioperative status of the two groups was compared and analyzed，including the postoperative drainage tube and catheter indwelling time，the first time to get out of bed，and intraoperative bleeding,and so on. Results All patients recovered during the perioperative period without death. Patients in the FTS group had earlier time to get out of bed [(2.9±1.1)d vs (4.0±1.2)d]，and earlier postoperative anal exhaust time [(59.3±22.0)h ) vs (76.8±30.1)h]，earlier catheter removal time [(10.3±3.1)d vs (13.9±3.5)d]，shorter hospital stay [(12.2±3.3)d vs (20.6±6.6)d], and lower hospitalization costs (P<0.01) than the control group (P<0.05). Conclusion Perioperative radical laparoscopic radical prostatectomy in the FTS mode is safe and effective，which is beneficial to patients’ early recovery，shortens the hospital stay and reduces the burden on patients.

参考文献/References:

1 SiegelRL，MillerKD，JemalA.Cancer Statistics，2017[J].Ca Cancer J Clin，2017，67(1)：7-30.
2 KarranA，WheatJ，ChanD，et al.Propensity Score Analysis of an Enhanced Recovery Programme in Upper Gastrointestinal Cancer Surgery[J].World J Surg，2016，40(7)：569-575.
3 BuJ，LiN，HuangX，et al.Feasibility of Fast-Track Surgery in Elderly Patients with Gastric Cancer[J].J Gastrointest Surg，2015，19(8)：1391-1398.
4 曹媛媛，杨洋，刘伟娇，等.加速康复外科护理对胃癌术后早期离床活动的影响[J].东南国防医药，2015，17(4)：432-433.
5 KehletH,WilmoreDW.Multimodal strategies to improve surgical outcome[J].Am J Surg,2002,183(6)：630-641.
6 DamaniaR，CocieruA.Impact of enhanced recovery after surgery protocols on postoperative morbidity and mortality in patients undergoing routine hepatectomy：review of the current evidence[J].Ann Transl Med，2017，5(17)：330-341.
7 PowellAC，Stopfkuchen-EvansM，UrmanRD，et al.Decreasing the Surgical Stress Response and an Initial Experience from the Enhanced Recovery After Surgery Colorectal Surgery Program at an Academic Institution[J].Int Anesthesiol Clin，2017，55(4):163-178.
8 MajorP，StefuraT，Ma?czakP，et al.Postoperative Care and Functional Recovery After Laparoscopic Sleeve Gastrectomy vs.Laparoscopic Roux-en-Y Gastric Bypass Among Patients Under ERAS Protocol[J].Obes Surg，2018，28(4)：1031-1039.
9 PangKH，GrovesR，VenugopalS，et al.Prospective Implementation of Enhanced Recovery After Surgery Protocols to Radical Cystectomy[J].Eur Urol，2017，S0302-2838(17)：30660-30667.
10 唐朝朋，徐振宇，高建平，等.加速康复外科在后腹腔镜肾上腺切除术中的应用[J].医学研究生学报，2014，27(8)：829-832.
11 李明辉，赵晓智，郭宏骞.加速康复外科在后腹腔镜肾癌根治术中的应用[J].医学研究生学报，2012，25(9)：930-932.
12 LiuY.Application of fast track surgery in routine nursing for patient with colorectal cancer[J].Saudi J Biol Sci，2017，24(8):1939-1942.
13 BardrawL.Recovery after laparoscopic colonic surgery with epidural analgesia，and early oral nutrition and mobilisation[J].Lancet，1995，345(8952)：763-764.
14 FeldmanLS，LeeL，J JrFiore .What outcomes are important in the assessment of Enhanced Recovery After Surgery (ERAS) pathways?[J] Can J Anaesth，2015，62(2)：120-130.
15 TooherR，SwindleP，WooH，et al.Laparoscopic radical prostatectomy for localized prostate cancer：a systematic review of comparative studies[J].J Urology，2006，175(6)：2011-2017.
16 MillerC，CampainNJ，DbeisR，et al.Introduction of robot-assisted radical cystectomy within an established enhanced recovery programme[J].BJU Int，2017，120(2):265-272.
17 HuangZ，YiL，ZhongZ，et al.Comparison of Fast-Track Versus Conventional Surgery Protocol for Patients Undergoing Robot-Assisted Laparoscopic Radical Prostatectomy：A Chinese Experience[J].Sci Rep，2018，8(1)：8017.
18 BroadbentE，KahokehrA，BoothRJ，et al.A brief relaxation intervention reduces stress and improves surgical wound healing response：A randomised trial[J].Brain Behav Immun，2012，26(2)：212-217.
19 GrallaO，HaasF，KnollN，et al.Fast-track surgery in laparoscopic radical prostatectomy：basic principles[J].World J Urol，2007，25(2)：185-191.
20 吴国豪.腹部手术患者代谢改变及加速康复策略[J].中华胃肠外科杂志，2016，19(3）：253-255.
21 GustafassonUO，HauselJ，ThorellA.Adherence to the Enhanced Recovery After Surgery Protocol and Outcomes After Colorectal Cancer Surgery[J].Arch Surg，2011，146(5)：571-577.
22 MillerTE，ThackerJK，WhiteWD，et al.Reduced Length of Hospital Stay in Colorectal Surgery after Implementation of an Enhanced Recovery Protocol[J].Anesth Analg，2014，118(5)：1052-1061.
23 王珂，徐金中，黄迎春，等.外科加速康复团队在护理克罗恩病患者中的应用与效果观察[J].东南国防医药，2017,19(3):311-314.
24 SmithMD，McCallJ，PlankL，et al.Preoperative carbohydrate treatment for enhancing recovery after elective surgery[J].Cochrane Database Syst Rev，2014(8)：CD009161.doi：10.1002/14651858.CD009161.pub2.
25 RamírezJM，BlascoJA，RoigJV，et al.Spanish working group on fast track surgery.Enhanced recovery in colorectal surgery：a multicentre study[J].BMC Surg，2011，14(11)：9-11.
26 唐朝朋，徐振宇，周文泉，等.加速康复外科在腹腔镜肾癌根治术中应用的安全性及有效性研究[J].腹腔镜外科杂志，2012，17(12)：935-938.
27 GaoW，WangY，WangW，et al.The first multiplication atom-bond connectivity index of molecular structures in drugs[J]. Saudi Pharm J，2017，25(4)：548-555.
28 黎介寿，江志伟.加速康复外科的临床意义不仅仅是缩短住院日［J］.中华消化外科杂志，2015，14(1)：22-24.

相似文献/References:

[1]刘兴东综述,嵇 武,李 宁审校.外科新理念在肠道损伤救治中的应用进展[摘要][J].医学研究与战创伤救治(原医学研究生学报),2011,13(01):59.
[2]杨仁荣,曹金林,刘文滨,等.损伤控制与加速康复外科理念在心脏刀刺伤急救中应用[J].医学研究与战创伤救治(原医学研究生学报),2011,13(06):488.
　YANG Ren-rong,CAO Jin-lin,LIU Wen-bin,et al.Clinical application of damage control and fast track surgery in the first aid of cardiac stabbed[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(4):488.
[3]邓 欢,赵丽君,吴金玲,等.加速康复外科护理在腹腔镜胃癌根治术患者中的应用[J].医学研究与战创伤救治(原医学研究生学报),2014,16(02):199.[doi:10.3969/j.issn.1672-271X.2014.02.029]
[4]李坤,赵丽君,韩晓鹏,等.损伤控制外科及加速康复外科理念在腹腔镜胃癌根治术中的应用[J].医学研究与战创伤救治(原医学研究生学报),2014,16(05):460.[doi:10.3969/j.issn.1672-271X.2014.05.004]
　LI Kun,ZHAO Li-jun,HAN Xiao-peng,et al.Application of damage control surgery and fast tract surgery in patients underwent laparoscopic radical gastrectomy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(4):460.[doi:10.3969/j.issn.1672-271X.2014.05.004]
[5]曹媛媛,杨 洋,刘伟娇,等.加速康复外科护理对胃癌术后早期离床活动的影响[J].医学研究与战创伤救治(原医学研究生学报),2015,17(04):432.[doi:10.3969/j.issn.1672-271X.2015.04.031]
[6]徐杨,丛壮壮,冀赛光,等.C-反应蛋白与清蛋白比值对微创食管癌术后并发症的早期预测价值[J].医学研究与战创伤救治(原医学研究生学报),2018,20(04):371.[doi:10.3969/j.issn.1672-271X.2018.04.010]
　XU Yang,CONG Zhuang-zhuang,JI Sai-guang,et al.Predictive value of the postoperative ratio of C-reactive protein to albumin for complications afterminimally invasive esophageal surgery[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2018,20(4):371.[doi:10.3969/j.issn.1672-271X.2018.04.010]
[7]田淑娜,陈琪珍,马丽,等.加速康复外科理念在单孔腹腔镜下子宫肌瘤剔除术中的应用[J].医学研究与战创伤救治(原医学研究生学报),2019,21(6):608.[doi:10.3969/j.issn.1672-271X.2019.06.012]
　TIAN Shu-na,CHEN Qi-zhen,MA Li,et al.Application of enhanced recovery after surgery concept in patients undergoing single hole laparoscopic myomectomy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2019,21(4):608.[doi:10.3969/j.issn.1672-271X.2019.06.012]
[8]盛正成,沈天一,周昱霖,等.机器人辅助腹腔镜肾盂成型术联合加速康复治疗肾盂输尿管连接部梗阻[J].医学研究与战创伤救治(原医学研究生学报),2020,22(5):497.[doi:10.3969/j.issn.1672-271X.2020.05.010]
　SHENG Zheng-cheng,SHEN Tian-yi,ZHOU Yu-lin,et al.Robot-assisted laparoscopic pyeloplasty combined with enhanced recovery after surgery in the treatment of ureteropelvic junction obstruction[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2020,22(4):497.[doi:10.3969/j.issn.1672-271X.2020.05.010]
[9]郭嵩,王刚,高国宇,等.加速康复外科在甲状腺乳头状癌手术中的应用[J].医学研究与战创伤救治(原医学研究生学报),2021,23(01):69.[doi:10.3969/j.issn.1672-271X.2021.01.001]
[10]王艳,黄敏.加速康复外科在卵巢良性肿瘤患者行经脐单孔腹腔镜手术的运用分析[J].医学研究与战创伤救治(原医学研究生学报),2021,23(03):267.[doi:10.3969/j.issn.1672-271X.2021.03.010]
　WANG Yan,HUANG Min.Analysis of the application of accelerated rehabilitation surgery in patients with benign ovarian tumor undergoing single hole laparoscopic surgery[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2021,23(4):267.[doi:10.3969/j.issn.1672-271X.2021.03.010]

备注/Memo

备注/Memo:
收稿日期：2018-07-25
更新日期/Last Update: 2019-07-11