MAJian-wei 1 , YANGXiao-jun 2 , ZHANGFu-li 1 , LIXiang-jun 1
  • 1. Department of General Surgery, The 2nd Hospital of Baiyin City, Baiyin 730900, Gansu Province, China;
  • 2. The 2nd Department of General Surgery, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China;
YANGXiao-jun, Email: yangxjmd@aliyun.com
Fast track surgery; Painless; Laparoscopic cholecystectomy
10.7507/1007-9424.20160156
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Objective To study clinical value of perioperative multimodal analgesia for laparoscopic cholecystectomy based on concept of fast track surgery (FTS). Methods The clinical data of 268 patients were analyzed retrospectively, who underwent laparoscopic cholecystectomy in the Department of General Surgery, the 2nd Hospital of Baiyin City from July 2013 to July 2015. All these patients were divided into FTS group and traditional group according to the chronological order, 133 patients in the traditional group were performed traditional perioperative analgesia before August 31, 2014, and 135 patients in the FTS group were performed perioperative multimodal analgesia method based on the concept of FTS after September 1, 2014. The data of both groups were collected and analyzed, including point of numerical rating scale, intestinal function recovery time, intake food time, ambulation time, drainage tube duration, postoperative hospital stay, postoperative sleep time at 72 h, and complications. Results ①The points of numerical rating scale at 1 h, 4 h, 8 h, 12 h, 24 h, 48 h, and 72 h in the FTS group were significantly lower than those in the traditional group (P < 0.01).②Compared with the traditional group, the intestinal function recovery time, intake food time, ambulation time, drainage tube duration, and postoperative hospital stay were obviously shorter, the postoperative sleep time at 72 h was obviously longer in the FTS group.③The incidence of nausea and vomiting in the FTS group was significantly lower than that in the traditional group (P < 0.01), the incidences of the other complications such as acid reflux, urinary retention, and breathing difficulty had no significant differences between these two groups (P > 0.05). The satisfaction rate of postoperative analgesic effect in the FTS group was significantly higher than that in the traditional group (P < 0.01). Conclusions Perioperative multimodal analgesia for laparoscopic cholecystectomy based on concept of FTS is safe and effective. It could achieve painless effect of laparoscopic cholecystectomy.

Citation： MAJian-wei, YANGXiao-jun, ZHANGFu-li, LIXiang-jun. Clinical Study of Painless Laparoscopic Cholecystectomy Based on Concept of Fast Track Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(5): 581-585. doi: 10.7507/1007-9424.20160156 Copy

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