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World J Gastroenterol. Jun 21, 2013; 19(23): 3642-3648
Published online Jun 21, 2013. doi: 10.3748/wjg.v19.i23.3642
Published online Jun 21, 2013. doi: 10.3748/wjg.v19.i23.3642
Fast-track surgery could improve postoperative recovery in radical total gastrectomy patients
Fan Feng, Gang Ji, Ji-Peng Li, Xiao-Hua Li, Hai Shi, Zheng-Wei Zhao, Guo-Sheng Wu, Xiao-Nan Liu, Qing-Chuan Zhao, Department of Digestive Surgery, Xijing Hospital of Digestive Diseases, the Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Author contributions: Feng F, Ji G and Li JP contributed equally to this work; Feng F and Zhao QC designed the study and wrote the manuscript; Ji G, Li JP and Liu XN performed all the operations; Li XH and Shi H were mainly in charge of perioperative management of patients; Zhao ZW and Wu GS were mainly in charge of evaluating postoperative outcomes, discharge, follow-up and data analysis.
Supported by National Natural Scientific Foundation of China, No. 31100643
Correspondence to: Dr. Qing-Chuan Zhao, Department of Digestive Surgery, Xijing Hospital of Digestive Diseases, the Fourth Military Medical University, 127 West Changle Road 7, Xi’an 710032, Shaanxi Province, China. zhaoqcfmmu@126.com.
Telephone: +86-29-84771503 Fax: +86-29-84771503
Received: December 25, 2012
Revised: March 20, 2013
Accepted: April 27, 2013
Published online: June 21, 2013
Revised: March 20, 2013
Accepted: April 27, 2013
Published online: June 21, 2013
Core Tip
Core tip: Fast-track surgery (FTS) is a promising program for surgical patients, and has been applied in several surgical diseases. The value of FTS in radical distal gastrectomy has been demonstrated recently, but the safety and efficacy of FTS for radical total gastrectomy requires further evaluation. The present study showed that FTS was feasible for perioperative care in radical total gastrectomy. Compared with conventional care, FTS could shorten the duration of flatus and defecation, accelerate the decrease in white blood cell count, decrease postoperative complications, shorten the postoperative stay, reduce the cost of hospitalization, and promote postoperative recovery of patients.