Application of Fast Track Surgery in Patients with Abdominal Aortic Aneurysm_West China Medical Journal

Authors：

 HEChun-yan ¹ , CUIChi ² , WANGHeng ¹ ,  TAOLan ³

1. Department of General Surgery, the Third People's Hospital of Chengdu, Chengdu, Sichuan 610031, P. R. China;
2. Department of General-vascular Surgery, the Third People's Hospital of Chengdu, Chengdu, Sichuan 610031, P. R. China;
3. Department of Nursing, the Third People's Hospital of Chengdu, Chengdu, Sichuan 610031, P. R. China;

Corresponding author：

TAOLan, Email: 1847472400@qq.com

Keywords：

Fast track surgery; Abdominal aortic aneurysm; Clinical Parameter

DOI：

10.7507/1002-0179.20150491

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effect of fast track surgery (FTS) on clinical parameters and postoperative complications in patients with abdominal aortic aneurysm (AAA). Method Fifty Patients with AAA treated in our hospital between December 2009 and May 2015 were enrolled in this study. Ten patients between December 2009 and December 2012 received conventional standard care (conventional group), while 50 between January 2013 and May 2015 received FTS (FTS group). The first exhaust time, the first time of off-bed activities, the duration of hospital stays, and the complications after AAA surgery were analyzed. Results The first exhaust time of patients in the FTS group and conventional group was (2.5±0.9) and (4.0±1.1) days; the first time of off-bed activities was (2.9±1.0) and (4.1±0.9) days; and the duration of hospital stays was (13.5±2.1) and (17.9±2.8) days. All those differences were significant (P<0.05). The incidences of incision infection, renal inadequacy, lower limb swelling, and weakened gastric function in the FTS group were significantly lower than those in the conventional group (P<0.05). On the third day after surgery, C-reactive protein in the FTS and conventional group was respectively (57.5±9.0) and (65.0±13.1) mg/L, and interleukin-6 was respectively (10.2±3.9) and (15.5±5.1) pg/L, both of which were significantly different between the two groups (P<0.05). Conclusions Fast track surgery is effective and safe in patients with abdominal aortic aneurysm, and it may lower trauma stress after surgery and incidence of postoperative complications.

Citation： HEChun-yan, CUIChi, WANGHeng, TAOLan. Application of Fast Track Surgery in Patients with Abdominal Aortic Aneurysm. West China Medical Journal, 2015, 30(9): 1716-1719. doi: 10.7507/1002-0179.20150491 Copy

1.	黎介寿. 对Fast track Surgery(快通道外科)内涵的认识[J]. 中华医学杂志, 2007, 87(8):515-517.
2.	Kehlet H, Wilmore DW. Multimodal stregies to improve surgical outcome[J]. Am J Surg, 2002, 183(6):630-641.
3.	江志伟, 李宁, 黎介寿. 加速康复外科的概念及临床意义[J]. 中国实用外科杂志, 2007, 27(2):131-133.
4.	于丁宁, 李铎. 低体温的危害及治疗[M]. 国外医学:外科学分册, 2004, 31(5):259-261.
5.	张明鸣, 伍晓汀, 蒋汉卿, 等. 哈乐在预防腹部手术后导致尿潴留的应用[J]. 中国普外基础与临床杂志, 2006, 13(3):331-332.
6.	Reimerink JJ, van der Laan MJ, Koelemay MJ, et al. Systematic review and meta-analysis of population-based mortality from ruptured abdominal aortic aneurysm[J]. Br J Surg, 2013, 100:1405-1413.
7.	胡国华, 符伟国. 降低破裂腹主动脉瘤的死亡率[J]. 中国血管外科杂志, 2014, 6(4):196-199.
8.	Arya R, Barnes JA, Hossain U, et al. Long-haul flights and deep vein thrombosis:a significant risk only when additional Factors are also present[J]. Br J Haematol, 2002, 116(3):653-654.
9.	伍晓汀, 周勇. 腹腔引流管的正确选择和合理应用[J]. 中国实用外科杂志, 2005, 25(1):35-36.
10.	Kjossev KT, Losanoff JE. Complication of prophylactic intraperitoneal drainage[J]. Dig Dis Sci, 2001, 46(11):2456.
11.	Kompan L, Kremzar B, Gadzijev E. Effects of early enteral nutrition on intestinal permeability and the development of multipleorgan failureafter multiple injury[J]. Intensive Care Med, 1999, 25(2):157-161.
12.	顾葆春, 邢锐, 文强, 等. 危重病人早期肠内营养的临床应用分析[J]. 肠内与肠外营养, 2004, 11(1):20-22.
13.	戴秀华, 赵宝春, 杨立明, 等. 不同类型炎症中C反应蛋白水平与基因型差异及其意义[J]. 中国感染控制杂志, 2006, 5(2):113-116.
14.	Anderson DG, Mc Naught CE, Mac Fie, et al. Randomized clinical trial of multimodal optimization and standard perioperative surgical care[J]. Br J Surg, 2003, 90(1):1497-1504.
15.	江志伟, 黎介寿, 汪志明, 等. 加速康复外科用于腹主动脉瘤患者价值探讨[J]. 中国实用外科杂志, 2008, 28(1):59-61.

1. 黎介寿. 对Fast track Surgery(快通道外科)内涵的认识[J]. 中华医学杂志, 2007, 87(8):515-517.
2. Kehlet H, Wilmore DW. Multimodal stregies to improve surgical outcome[J]. Am J Surg, 2002, 183(6):630-641.
3. 江志伟, 李宁, 黎介寿. 加速康复外科的概念及临床意义[J]. 中国实用外科杂志, 2007, 27(2):131-133.
4. 于丁宁, 李铎. 低体温的危害及治疗[M]. 国外医学:外科学分册, 2004, 31(5):259-261.
5. 张明鸣, 伍晓汀, 蒋汉卿, 等. 哈乐在预防腹部手术后导致尿潴留的应用[J]. 中国普外基础与临床杂志, 2006, 13(3):331-332.
6. Reimerink JJ, van der Laan MJ, Koelemay MJ, et al. Systematic review and meta-analysis of population-based mortality from ruptured abdominal aortic aneurysm[J]. Br J Surg, 2013, 100:1405-1413.
7. 胡国华, 符伟国. 降低破裂腹主动脉瘤的死亡率[J]. 中国血管外科杂志, 2014, 6(4):196-199.
8. Arya R, Barnes JA, Hossain U, et al. Long-haul flights and deep vein thrombosis:a significant risk only when additional Factors are also present[J]. Br J Haematol, 2002, 116(3):653-654.
9. 伍晓汀, 周勇. 腹腔引流管的正确选择和合理应用[J]. 中国实用外科杂志, 2005, 25(1):35-36.
10. Kjossev KT, Losanoff JE. Complication of prophylactic intraperitoneal drainage[J]. Dig Dis Sci, 2001, 46(11):2456.
11. Kompan L, Kremzar B, Gadzijev E. Effects of early enteral nutrition on intestinal permeability and the development of multipleorgan failureafter multiple injury[J]. Intensive Care Med, 1999, 25(2):157-161.
12. 顾葆春, 邢锐, 文强, 等. 危重病人早期肠内营养的临床应用分析[J]. 肠内与肠外营养, 2004, 11(1):20-22.
13. 戴秀华, 赵宝春, 杨立明, 等. 不同类型炎症中C反应蛋白水平与基因型差异及其意义[J]. 中国感染控制杂志, 2006, 5(2):113-116.
14. Anderson DG, Mc Naught CE, Mac Fie, et al. Randomized clinical trial of multimodal optimization and standard perioperative surgical care[J]. Br J Surg, 2003, 90(1):1497-1504.
15. 江志伟, 黎介寿, 汪志明, 等. 加速康复外科用于腹主动脉瘤患者价值探讨[J]. 中国实用外科杂志, 2008, 28(1):59-61.

West China Medical Journal

Application of Fast Track Surgery in Patients with Abdominal Aortic Aneurysm

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content