Safety and Efficacy of Fast-track Surgery in Laparoscopic Distal Gastrectomy for Gastric Cancer: A Randomized Clinical Trial

Background Fast-track surgery has been shown to enhance postoperative recovery in several surgical fields. This study aimed to evaluate the safety and efficacy of fast-track surgery in laparoscopic distal gastrectomy. Methods The present study was designed as a single-center, randomized, unblinded,...

Full description

Saved in:
Bibliographic Details
Published in:World journal of surgery 2012-12, Vol.36 (12), p.2879-2887
Main Authors: Kim, Jong Won, Kim, Whan Sik, Cheong, Jae-Ho, Hyung, Woo Jin, Choi, Seung-Ho, Noh, Sung Hoon
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adenocarcinoma - surgery
Adult
Aged
Anastomotic Stricture
Anesthetics, Local - therapeutic use
Bupivacaine - therapeutic use
Cardiac Surgery
Conventional Group
Early Ambulation
Female
Follow-Up Studies
Gastrectomy - methods
Gastrectomy - rehabilitation
Gastric Cancer
Gastroenterostomy
General Surgery
Humans
Ketorolac Tromethamine
Laparoscopic Distal Gastrectomy
Laparoscopy
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Pain, Postoperative - drug therapy
Perioperative Care - methods
Prospective Studies
Recovery of Function
Stomach Neoplasms - surgery
Surgery
Thoracic Surgery
Treatment Outcome
Vascular Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Fast-track surgery has been shown to enhance postoperative recovery in several surgical fields. This study aimed to evaluate the safety and efficacy of fast-track surgery in laparoscopic distal gastrectomy. Methods The present study was designed as a single-center, randomized, unblinded, parallel-group trial. Patients were eligible if they had gastric cancer for which laparoscopic distal gastrectomy was indicated. The fast-track surgery protocol included intensive preoperative education, a short duration of fasting, a preoperative carbohydrate load, early postoperative ambulation, early feeding, and sufficient pain control using local anesthetics perfused via a local anesthesia pump device, with limited use of opioids. The primary endpoint was the duration of possible and actual postoperative hospital stay. Results We randomized 47 patients into a fast-track group ( n  = 22) and a conventional pathway group ( n  = 22), with three patients withdrawn. The possible and actual postoperative hospital stays were shorter in the fast-track group than in the conventional group (4.68 ± 0.65 vs. 7.05 ± 0.65; P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-012-1741-7