AI Article Synopsis
- * Study involved 80 patients with varying types of gastrectomy, noting a low 30-day readmission rate of 3.8% and no in-hospital deaths.
- * Results indicate a mean postoperative hospital stay of 5.3 days and faster time to first flatus, suggesting improved outcomes with this rehabilitation approach.
Article Abstract
Background: To evaluate the safety, efficacy and outcomes of fast-track rehabilitation applied to gastric cancer proximal, distal and total gastrectomy.
Methods: Eighty consecutive patients undergoing gastric cancer resection performed by a single surgeon, received perioperative multimodal rehabilitation. Demographic and operative data, gastrointestinal function, postoperative hospital stays, surgical and general complications and mortality were assessed prospectively.
Results: Of the 80 patients (mean age 56.3 years), 10 (12.5%) received proximal subtotal gastrectomy (Billroth I), 38 (47.5%) received distal (Billroth II), and 32 (40%) received total gastrectomy (Roux-en-Y). Mean operative time was 104.9 minutes and intraoperative blood loss was 281.9 ml. Time to first flatus was 2.8 ± 0.5 postoperative days. Patients were discharged at a mean of 5.3 ± 2.2 postoperative days; 30-day readmission rate was 3.8%. In-hospital mortality was 0%; general and surgical complications were both 5%.
Conclusions: Fast-track multimodal rehabilitation is feasible and safe in patients undergoing gastric cancer resection and may reduce time to first flatus and postoperative hospital stays.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4236561 | PMC |
| http://dx.doi.org/10.1186/1471-230X-14-147 | DOI Listing |
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