The perioperative application prospect of fast-track surgery (FTS) in laparoscopic subtotal colectomy with antiperistalsis cecorectal anastomosis treatment for colonic slow transit constipation

doi:10.3877/cma.j.issn.2095-3224.2017.04.018

Abstract

Abstract:

Objective

To investigate the perioperative application prospect of fast-track surgery(FTS)in laparoscopic subtotal colectomy with antiperistalsis cecorectal anastomosis treatment for colonic slow transit constipation (STC).

Methods

Fifty-five patients received subtotal colectomy with antiperistalsis cecorectal anastomosis treatment from January 2012 to June 2013 were divided into observation group and Control group. Twenty-eight patients of the control group were received routine care and guidance in the perioperative. Twenty-six patients of the observation group were received FTS treatment in the perioperative. The perioperative changes of body weight, the first exhaust time, the time to begin eating, the postoperative hospital stay, the hospitalization expenses and the clinical curative effect were compared between the two groups.

Results

The first exhaust time (t=6.882, P<0.05)、the time for eating (t=4.916, P<0.05)and the postoperative hospital stay (t=9.216, P<0.05) in the observation group was shorter compared with the control group. The weight loss in the observation group than that of the control group (t=10.021, P<0.05), The hospitalization expenses are fewer in the observation group than that of the control group (t=4.763, P<0.05), . One months after operation, the gastrointestinal quality of life index score (t=-2. 011, P<0.05) and WCS (t=2.150, P<0.05) in the observation group were better than those in the control group.

Conclusion

The postoperative curative effect of laparoscopic subtotal colectomy with antiperistaltic cecoproctostomy combined the perioperative nursing of fast track surgery was obvious, with good application value and prospect.

Key words: Constipation, Fast track surgery, Laparoscopic subtotal colectomy with antiperistaltic cecoproctostomy, Slow-transit constipation

Yongli Cao, Wenhang Wang, Weiwei Yang, Wenli Zhang, Dong Wei. The perioperative application prospect of fast-track surgery (FTS) in laparoscopic subtotal colectomy with antiperistalsis cecorectal anastomosis treatment for colonic slow transit constipation[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(04): 345-348.

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Figures/Tables 4

References 11

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组别	术后住院时间（±s,ｄ）	首次排气时间（±s，h）	进食半流饮食时间（±s，d）	住院费用（±s，万）	术后体质量下降（±s，kg）	术后并发症发生率（%）
观察组	7.19±1.33	62.27±12.02	4.58±1.17	3.11±0.29	1.81±0.49	7.69
对照组	12.29±2.58	88.25±15.37	6.54±1.69	3.56±0.40	3.43±0.92	7.14
t/χ²值	t=9.216	t=6.882	t=4.916	t=4.763	t=10.021	χ²=0.006
P值	<0.001	<0.001	<0.001	<0.001	<0.001	0.939

组别	术后住院时间（±s,ｄ）	首次排气时间（±s，h）	进食半流饮食时间（±s，d）	住院费用（±s，万）	术后体质量下降（±s，kg）	术后并发症发生率（%）
观察组	7.19±1.33	62.27±12.02	4.58±1.17	3.11±0.29	1.81±0.49	7.69
对照组	12.29±2.58	88.25±15.37	6.54±1.69	3.56±0.40	3.43±0.92	7.14
t/χ²值	t=9.216	t=6.882	t=4.916	t=4.763	t=10.021	χ²=0.006
P值	<0.001	<0.001	<0.001	<0.001	<0.001	0.939

组别	例数（例）	性别（男/女，例）	年龄（±s，岁）	体重（±s，Kg）	WCS（±s，术前）	GIQLI（±s，术前）
观察组	26	6/20	50.46±13.27	61.04±10.35	16.38±1.36	63.00±3.87
对照组	28	6/22	49.36±14.26	60.32±9.85	16.39±1.31	63.00±3.72
t/χ²值		χ²=0.021	t=-0.294	t=-0.261	t=0.023	t=0.000
P值		>0.05	>0.05	>0.05	>0.05	>0.05

组别	例数（例）	性别（男/女，例）	年龄（±s，岁）	体重（±s，Kg）	WCS（±s，术前）	GIQLI（±s，术前）
观察组	26	6/20	50.46±13.27	61.04±10.35	16.38±1.36	63.00±3.87
对照组	28	6/22	49.36±14.26	60.32±9.85	16.39±1.31	63.00±3.72
t/χ²值		χ²=0.021	t=-0.294	t=-0.261	t=0.023	t=0.000
P值		>0.05	>0.05	>0.05	>0.05	>0.05

组别	WCS				GLQLI
组别	术前	术后1月	术后3月	术后12月	术前	术后1月	术后3月	术后12月
观察组	16.38±1.36	2.96±1.24	3.27±1.27	2.88±1.88	63.00±3.87	91.35±11.90	100.04±14.17	104.73±15.80
t值		27.726	25.448	30.602		-12.333	-13.720	-14.064
P值		<0.001	<0.001	<0.001		<0.001	<0.001	<0.001
对照组	16.39±1.31	4.07±1.51	3.54±1.64	2.79±1.64	63.00±3.72	85.57±9.11	99.86±14.21	104.64±15.71
t值		33.860	33.489	34.937		-13.029	-14.095	-14.605
P值		<0.001	<0.001	<0.001		<0.001	<0.001	<0.001

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