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World J Gastroenterol. Jun 21, 2013; 19(23): 3642-3648
Published online Jun 21, 2013. doi: 10.3748/wjg.v19.i23.3642
Published online Jun 21, 2013. doi: 10.3748/wjg.v19.i23.3642
Perioperative intervention | Conventional | Fast-track surgery |
Diet before surgery | No intake of food and drink after supper the day before surgery | Intake of 1000 mL 14% carbohydrate drink 12 h before and 350 mL 14% carbohydrate drink 3 h before surgery. |
Anesthesia | Tracheal intubation and general anesthesia | Tracheal intubation and general anesthesia |
Thermal insulation during operation | No thermal insulation, room temperature was maintained at 22 °C | Thermal insulation of the body and extremities, body temperature was maintained at 36 °C |
Operation procedure | Standard laparotomy approach | Standard laparotomy approach |
Placement of abdominal drainage | Use of abdominal drainage tube | No routine use of abdominal drainage tube |
Analgesia after operation | Standard use of patient-controlled analgesic pump | Infiltration of surgical wounds with ropivacaine at the end of surgery and 24 h after surgery. Oral intake of 200 mg celecoxib twice daily |
Mobilization after operation | Mobilize out of bed on patients’ own request | Encourage patients to mobilize out of bed |
Diet after operation | Oral intake initiated after flatus (following a stepwise plan from water to other liquids to semi-fluids to normal food) | Oral intake of 500-1000 mL glucose saline on the day of surgery. Intake of 2000-3000 mL liquid food containing 1000 kcal to 1200 kcal per day from the 1st day after surgery |
Intravenous nutrition after operation | Infusion of glucose saline and amino acid injection iv on the day of surgery. Infusion of parenteral nutrition (25 kcal/kg of body weight) iv before oral intake. Appropriate level of iv fluid intake based on the volume of liquid intake and output, and physiological need | Infusion of parenteral nutrition iv if oral intake is not adequate. Appropriate level of iv fluid intake based on the volume of liquid intake and output, and physiological need |
Removal of nasogastric tube | Removal of nasogastric tube after flatus | Removal of nasogastric tube within 24 h after surgery |
Removal of urine catheter | Removal of urine catheter on the 3rd or 4th day after surgery | Removal of urine catheter within 24 h after surgery |
Antibiotics | Standard use of antibiotics for 3 d after surgery | Standard use of antibiotics before and once after surgery |
- Citation: Feng F, Ji G, Li JP, Li XH, Shi H, Zhao ZW, Wu GS, Liu XN, Zhao QC. Fast-track surgery could improve postoperative recovery in radical total gastrectomy patients. World J Gastroenterol 2013; 19(23): 3642-3648
- URL: https://www.wjgnet.com/1007-9327/full/v19/i23/3642.htm
- DOI: https://dx.doi.org/10.3748/wjg.v19.i23.3642