Clinical Application of Fast Track Surgery in Treatment for Cholecystolithiasis Combined with Calculus of Common Bile Duct by Combination of Laparoscope and Duodenoscope_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

JIANG Zongxing ,  WANG Tao , JIANG Zhiwei , RUAN Qing , YANG Suojun , YAN Yong

Department of General Surgery， Chengdu Military General Hospital， Chengdu 610083， Sichuan Province， China;

Corresponding author：

WANG Tao, Email: watopo@163.com

Keywords：

Fast track surgery; Laparoscopic cholecystectomy; Endoscopic retrograde cholangiopancreatography; Cholecystolithiasis; Calculus of common bile duct

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To evaluate the use of fast track surgery （FTS） in the treatment for cholecystolithiasis combined with calculus of common bile duct （CBD） by combination of laparoscope and duodenoscope.
Methods 　One hundred and twenty patients with cholecystolithiasis combined with calculus of CBD underwent laparoscopic cholecyst-ectomy （LC） and endoscopic retrograde cholangiopancreatography （ERCP） were divided into FTS group （n=55） and conventional group （n=65），which were accepted the perioperative therapy of FTS or conventional therapy，respectively. After operation，the incision pain，nausea and vomiting，infusion time，loss of body weight，out-of-bed time，dieting time，postoperative hospitalization，hospital costs，and complications were compared in two groups.
Results 　Compared with the conventional group，the postoperative infusion time，dieting time，out-of-bed time，and postoperative hospitali-zation were shorter，the incidence rates of pulmonary infection，and urinary systems infection，pancreatitis，nausea and vomiting， and incision pain were lower，the loss of body weight was lower in the FTS group （P＜0.05），but the differences of WBC and serum amylase at 24 h after operation were not significant between the FTS group and conventional group（P＞0.05）.
Conclusion 　The FTS is safe，economic，and effective in the treatment for cholecystolithiasis combined with calculus of CBD by combination of laparoscope and duodenoscope.

Citation： JIANG Zongxing,WANG Tao,JIANG Zhiwei,RUAN Qing,YANG Suojun,YAN Yong,.. Clinical Application of Fast Track Surgery in Treatment for Cholecystolithiasis Combined with Calculus of Common Bile Duct by Combination of Laparoscope and Duodenoscope. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(8): 922-925. doi: Copy

1.	戴国清，胡海. 腹腔镜胆囊切除联合胆总管探查治疗胆囊并胆总管结石的临床研究[J]. 中国普通外科杂志， 2010， 19(8)：843-845.
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14.	Beilin B， Shavit Y， Razumovsky J， et al. Effects of mild perioperative hypothermia on cellular immune responses[J]. Anesthesiology， 1998， 89(5)：1133-1140.
15.	王延炳，姜晓红. 非甾体抗炎药和传统阿片类药物在术后镇痛中的效果比较[J]. 中国临床药理学杂志， 2012， 28(6)：417-419.
16.	所广军，徐安，胡海. ERCP临床应用指征探讨[J]. 中国普外基础与临床杂志， 2011， 18(5)：533-536.
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18.	陈霞，郭用兵，耿颖，等. 施他宁对重症急性胰腺炎患者并发症的影响[J]. 胰腺病学， 2003， 3(1)：57-58.
19.	宋丽亚，赵清喜，孔心涓，等. ENBD预防胆管多发结石ERCP术后急性胰腺炎及高淀粉酶血症65例[J]. 世界华人消化杂志， 2010， 18(16)：1724-1727.
20.	Karsten TM， Coene PP， van Gulik TM， et al. Morphologic changes of extrahepatic bile ducts during obstruction and subsequent decompression by endoprosthesis[J]. Surgery， 1992， 111(5)：562-568.

1. 戴国清，胡海. 腹腔镜胆囊切除联合胆总管探查治疗胆囊并胆总管结石的临床研究[J]. 中国普通外科杂志， 2010， 19(8)：843-845.
2. 李利义，蒋平，林建华，等. EST联合LC治疗老年胆囊结石并胆总管结石[J]. 肝胆胰外科杂志， 2010， 22(1)：62-63.
3. Dijkers M. Comparing quantification of pain severity by verbal rating and numeric rating scales[J]. J Spinal Cord Med， 2010， 33(3)：232-242.
4. 于凤伟，姜淑华，赵彤. 疼痛患者疼痛评估与护理要点[J]. 中国中医药咨讯， 2012， 4(1)：269.
5. Wilmore DW， Kehlet H. Management of patients in fast track surgery[J]. BMJ， 2001， 322(7284)：473-476.
6. Kehlet H， Wilmore DW. Multimodal strategies to improve surgical outcome[J]. Am J Surg， 2002， 183(6)：630-641.
7. 王刚，江志伟，鲍扬，等. 加速康复外科的术前准备在结直肠手术中的应用[J]. 肠外与肠内营养， 2010， 17(5)：280-282.
8. 程黎阳. 快速康复外科的现状分析与前景展望[J]. 实用医学杂志， 2012， 28(1)：1-4.
9. Spanjersberg WR， Reurings J， Keus F， et al. Fast track surgery versus conventional recovery strategies for colorectal surgery[J]. Cochrane Database Syst Rev， 2011， (2)：CD007635.
10. 沈雄飞，程勇. 快速康复外科和腹腔镜在结直肠癌治疗中的应用[J]. 中国普外基础与临床杂志， 2010， 17(5)：504-507.
11. 王胜利. 快速康复外科理念在胆总管结石患者围术期中的应用分析[J]. 肝胆外科杂志， 2012， 20(4)：280-283.
12. Brandstrup B. Fluid therapy for the surgical patient[J]. Best Pract Res Clin Anaesthesiol， 2006， 20(2)：265-283.
13. Fearon KC， Ljungqvist O， Von Meyenfeldt M， et al. Enhanced recovery after surgery：a consensus review of clinical care for patients undergoing colonic resection[J]. Clin Nutr， 2005， 24(3)：466-477.
14. Beilin B， Shavit Y， Razumovsky J， et al. Effects of mild perioperative hypothermia on cellular immune responses[J]. Anesthesiology， 1998， 89(5)：1133-1140.
15. 王延炳，姜晓红. 非甾体抗炎药和传统阿片类药物在术后镇痛中的效果比较[J]. 中国临床药理学杂志， 2012， 28(6)：417-419.
16. 所广军，徐安，胡海. ERCP临床应用指征探讨[J]. 中国普外基础与临床杂志， 2011， 18(5)：533-536.
17. Pande H， Thuluvath P. Pharmacological prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis[J]. Drugs， 2003， 63(17)：1799-1812.
18. 陈霞，郭用兵，耿颖，等. 施他宁对重症急性胰腺炎患者并发症的影响[J]. 胰腺病学， 2003， 3(1)：57-58.
19. 宋丽亚，赵清喜，孔心涓，等. ENBD预防胆管多发结石ERCP术后急性胰腺炎及高淀粉酶血症65例[J]. 世界华人消化杂志， 2010， 18(16)：1724-1727.
20. Karsten TM， Coene PP， van Gulik TM， et al. Morphologic changes of extrahepatic bile ducts during obstruction and subsequent decompression by endoprosthesis[J]. Surgery， 1992， 111(5)：562-568.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Application of Fast Track Surgery in Treatment for Cholecystolithiasis Combined with Calculus of Common Bile Duct by Combination of Laparoscope and Duodenoscope

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