微创医学

目的探讨加速康复外科（FTS）在腹腔镜小肠间质瘤手术中的临床疗效。方法将行腹腔镜小肠间质瘤切除患者30例，分为FTS组15例，对照组15例。FTS组围术期采用加速康复外科的理念及方法处理，对照组采用常规小肠肿瘤围术期处理。比较两组术后肛门排气时间、住院时间、住院费用、C-反应蛋白（CRP）、术后并发症等指标。结果FTS组患者术后排气时间、住院时间、住院费用明显少于对照组，两组比较，差异有统计学意义（P＜0.05）；与术前比较，术后两组患者的CRP水平均明显升高（P＜0.05）；FTS组患者术后第1天、第3天CRP水平显著低于对照组，两组比较，差异有统计学意义（P＜0.05）。两组术后并发症发生率比较，差异无统计学意义（P＞0.05）。结论FTS应用于腹腔镜小肠间质瘤手术安全可行，具有较好的临床应用价值。

ObjectiveTo explore the efficacy of fast track surgery in operation of laparoscopic small bowel stromal tumors. MethodsA total of 30 patients received laparoscopic small intestinal stromal tumor resection were divided into FTS group(n=15)and control group(n=15). Fast track surgery idea and methodswere applied in perioperative period of FTS group, and traditional perioperative period measureswere used in control group.Postoperative anal exhaust time, hospital stay, hospital costs, C-reactive protein (CRP), postoperative complications and other indicatorswere compared between the two groups. ResultsThe postoperative exhaust time, length of stay and hospitalization expenses of patients in group FTS were significantly less than those in control group, the difference was statistically significant (P＜0.05). The CRP levels of FTS group were significantly lower than that of the control group in the first day and the third day after operation, the difference was statistically significant (P＜0.05).There was no significant difference in the incidence of postoperative complications between the two groups (P＞0.05). ConclusionFTS is safe and feasible in the application of laparoscopic small intestinal stromal tumor, and has good clinical application value.