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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (02): 218-221. doi: 10.3877/cma.j.issn.1674-3946.2022.02.027

• Original Article • Previous Articles     Next Articles

Effect of FTS on postoperative complications and inflammatory factors in patients laparoscopic colorectal cancer

Juan Zhang1, Jing Ma1, Lei Yang1, Liumulin2, Xuxingxing2, Fenglin Ye3,()   

  1. 1. Department of general surgery, Bengbu first people’s hospital, Bengbu Anhui Province 233000, China
    2. Department of general surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui Province 233004, China
    3. Department of hepatobiliary surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui Province 233004, China
  • Received:2021-07-07 Online:2022-04-26 Published:2022-04-11
  • Contact: Fenglin Ye
  • Supported by:
    Anhui Natural Science Foundation in 2020(KJ2020ZD87)

Abstract:

Objective

To investigate the effects of rapid rehabilitation surgery(FTS)on postoperative complications and inflammatory factors in patients treated with laparoscopic radical colorectal cancer surgery.

Methods

83 colorectal cancer patients treated with laparoscopic radical colorectal cancer surgery from January 2018 to December 2020 were selected and divided into the FTS group(42 cases)and conventional group(41 cases)according to random number table method. The FTS group were nursed using the FTS view,and the conventional group were nursed using the conventional view. The statistical software SPSS 23.0 was used to analyze the operation related indicators,gastrointestinal function,quality of life(KPS)and inflammatory factors,which were represented as(

xˉ
±s),and the independent T test was used. Postoperative complications were expressed as cases/rate and χ2 test was used. P<0.05 was statistically significant.

Results

The postoperative complications of FTS group(4.8%)was less than that in conventional group(22.0%)(P<0.05). The time of first anal exhaust,feeding time,defecation time and ambulation time in FTS group were shorter than those in conventional group(P<0.05). The levels of inflammatory factors interleukin-6(IL-6),cortisol(Cor)and C-reactive protein(CRP)in both groups after 1 d and 5 d of operation were higher than those before operation(P<0.05),but the three indexes in FTS group were lower than those in conventional group(P<0.05). The KPS scores in both groups after 1 and 6 months of surgery were higher than those before surgery(P<0.05),but the KPS scores in FTS group after 1 and 6 months of surgery were higher than those in conventional group(P<0.05).

Conclusions

FTS can promote the early recovery of gastrointestinal function,reduce postoperative complications,alleviate inflammatory response,and improve the quality of life of colorectal cancer patients treated with laparoscopic radical resection,which is worthy of clinical reference.

Key words: Colorectal neoplasms, Laparoscopy, Fast track surgery, Postoperative complications, Inflammatory factors

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