“Fast-track” and “Minimally Invasive” Surgery for Gastric Cancer

• DOI: 10.4103/0366-6999.190659
• Publication Date: 2016-09-15T10:50:57Z
• Authors: Xin-Xin Liu; Hua-Feng Pan; Zhi-Wei Jiang; Shu Zhang; Zhi-Ming Wang; Ping Chen; Yan Zhao; Gang Wang; Kun Zhao; Jie-Shou Li
• Keywords: Interquartile range; Fast track; Invasive surgery

Enhanced recovery after surgery (ERAS) protocols or fast-track (FT) programs enable a shorter hospital stay and lower complication rate. Minimally invasive (MIS) is associated with lesser trauma quicker in many elective abdominal surgeries. However, little known of the safety effectiveness made by ERAS combined MIS for gastric cancer. The purpose this study was to evaluate FT combination alone.We summarized an 11-year experience on cancer patients undergoing laparotomy minimally resection standard cares (SC) during January 2004 December 2014. A total 984 were enrolled assigned into four groups: open gastrectomies (OG) SC (OG + group, n = 167); OG 277); laparoscopic (LG) (LG 248); robot-assisted (RG) (RG 292). Patients' data collected clinical outcome. primary end point length postoperative stay.The group showed longest (mean: 12.3 days, median: 11 interquartile range [IQR]: 6-16 days), while FT, LG RG groups recovered faster 7.4, 6.4, 6.6 6, 6 IQR: 3-9, 4-8, 3-9 respectively, all P< 0.001). rehabilitation parameters such as flatus time (4.7 ± 0.9, 3.1 0.8, 3.0 0.9 days) followed same manner. After 30 days' follow-up, incidence complications 9.6% 10.1% 8.1% 10.3% group. no significant differences between (all P > 0.05).ERAS alone could significantly bring fast regardless surgical technique. further reduces stay. It safe effective apply