Wang XH, Chen FF, Pan J, Jiang YF, Yao MY, Mao JL, Xu YF. Impact of fast-track surgery on perioperative care in patients undergoing hepatobiliary surgery. World J Gastrointest Surg 2024; 16(10): 3155-3162 [PMID: 39575282 DOI: 10.4240/wjgs.v16.i10.3155]
Corresponding Author of This Article
Ya-Feng Xu, BM BCh, Associate Chief Nurse, Department of General Surgery, Kecheng District People's Hospital, No. 172 Shuanggang Road, Kecheng District, Quzhou 324000, Zhejiang Province, China. 13002640208@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Oct 27, 2024; 16(10): 3155-3162 Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3155
Table 1 Comparison of the general data between the two patient groups
Group
Age (year)
Disease type (example)
Gallbladder or bile duct stones
Cholecystic polypus
Hepatic cyst
Other
Observation group (n = 49)
47.32 ± 3.72
19
13
11
6
Control group (n = 49)
46.53 ± 3.85
20
12
12
5
t/χ2
1.033
0.200
P value
0.304
0.978
Table 2 Comparison of hospitalization between the two groups (mean ± SD)
Group
Length of stay (day)
Hospitalization cost (ten thousand yuan)
Time of surgery (min)
First time (hour)
Evacuation time (hour)
Time of the first defecation after the operation (hour)
Observation group (n = 49)
7.25 ± 1.38
0.75 ± 0.23
78.52 ± 15.23
15.31 ± 3.53
22.36 ± 2.53
39.21 ± 6.52
Control group (n = 49)
13.12 ± 3.25
1.23 ± 0.51
103.25 ± 23.62
35.52 ± 5.85
41.52 ± 3.89
56.53 ± 8.75
t value
11.637
6.006
6.160
20.705
28.903
11.111
P value
< 0.001
< 0.001
< 0.001
< 0.001
< 0.001
< 0.001
Table 3 Comparison of the occurrence of wound complications in the two groups, n (%)
Group
Infection of incisional wound
Pressure sores
Pulmonary infection
Poor wound healing
Total incidence
Observation group (n = 49)
1 (2.04)
0 (0.00)
0 (0.00)
1 (2.04)
2 (4.08)
Control group (n = 49)
3 (6.12)
2 (4.08)
1 (2.04)
3 (6.12)
9 (18.36)
χ2
-
-
-
-
5.018
P value
-
-
-
-
0.025
Table 4 Comparison of patient satisfaction with care between the two groups, n (%)
Group
Discontent
More satisfied
Satisfied
Segree of satisfaction
Observation group (n = 49)
2 (4.08)
20 (40.82)
27 (55.10)
47 (95.92)
Control group (n = 49)
10 (20.41)
18 (36.73)
21 (42.86)
39 (79.59)
χ2
-
-
-
6.078
P value
-
-
-
0.014
Citation: Wang XH, Chen FF, Pan J, Jiang YF, Yao MY, Mao JL, Xu YF. Impact of fast-track surgery on perioperative care in patients undergoing hepatobiliary surgery. World J Gastrointest Surg 2024; 16(10): 3155-3162