To analyze the application value of fast track surgery (FTS) in middle approach laparoscopic radical resection of colon cancer.

A total of 100 cases of colon cancer undergoing surgical treatment from August 2017 to August 2020 were randomly divided into FTS group and control group, 50 cases in each. SPSS 22.0 software was used for data analysis. The postoperative complications were counted by χ² test. The intraoperative and postoperative indicators, psychological state score and nutritional indicators were expressed by (±s). The independent t test was used. The satisfaction survey was conducted by rank sum test. P<0.05 was considered statistically significant.

The exhaust time, postoperative hospital stay, hospitalization cost and incidence of postoperative complications in FTS group were lower than those in control group (P<0.05). On day 1 after operation, white blood cells(WBC) were increased, while total protein (TP), pre-albumin (PA) and albumin (ALB) were decreased in both groups. The WBC of FTS group on day 1 after surgery was lower than that of control group, and the TP, PA and ALB of FTS group were higher than those of control group (P<0.05). The scores of SAS and SDS of both groups on postoperative 7 d were higher than those on preoperative 1 d, and the SAS and SDS scores of FTS group on postoperative 7 d were lower than those of the control group (P<0.05). The satisfaction rate of FTS group was 70.00%, which was higher than 50.00% of the control group (P<0.05).

The perioperative intervention based on FTS can promote the early recovery, reduce the risk of complications, and reduce the physical and psychological stress caused by surgery, and improve patient satisfaction.