Copyright
©2012 Baishideng Publishing Group Co.
World J Gastrointest Surg. Nov 27, 2012; 4(11): 246-250
Published online Nov 27, 2012. doi: 10.4240/wjgs.v4.i11.246
Published online Nov 27, 2012. doi: 10.4240/wjgs.v4.i11.246
Table 1 Fast track program in laparoscopic liver surgery
| Preoperative cares |
| No liquid intake 8 h before surgery |
| Administration of anaesthetic premedication |
| Intraoperative cares |
| Control of fluids |
| Removing nasogastric tube at the end of surgery |
| No urinary tubes in procedures of < 180 min |
| Selection of indications of intraabdominal drains |
| Postoperative cares |
| Early: ICU/recovery room |
| Oral intake 6-8 h after the surgery |
| Mobilization 6-8 h after the surgery |
| Analgesia: intravenous metamizol/8 h + intravenous paracetamol/8 h within the first 24 h and then oral analgesia |
| Removal of drains (when used) 24-48 h |
| Blood test 24 h after (haemogram, coagulation and hepatic profile) |
Table 2 Demographic data n (%)
| Control group (n = 17) | Fast-track group (n = 26) | P value | |
| Age (yr) | 52.5 (29-84) | 58.3 (29-77) | NS |
| Sex (M:F) | 10:7 | 15:11 | NS |
| ASA | NS | ||
| II | 8 (47.05) | 13 (50) | |
| III | 9 (52.94) | 13 (50) | |
| Indication | < 0.05 | ||
| Benign/malignant | 14 (82.4)/ 3 (17.6) | 14 (53.8)/ 12 (45.2) | |
| Pathology | |||
| Haemangioma | 1 | 1 | |
| Hidatidosis | 1 | 2 | |
| FNH | 6 | 4 | |
| HCC | 3 | 3 | |
| ColangioCa | 0 | 1 | |
| Metastasis | 0 | 8 | |
| Policystosis/simple cyst | 5 | 7 | |
| Others | 1 | 0 |
Table 3 Surgical procedure results n (%)
| Control group (n = 17) | Fast-track group (n = 26) | P value | |
| Technique | NS | ||
| Left lateral sectionectomy | 4 (23.5) | 5 (19.2) | |
| Atypical resection | 7 (41.2) | 12 (46.2) | |
| Unroofing | 5 (29.4) | 7 (26.9) | |
| Cystopericystectomy | 1 (5.9) | 2 (7.7) | |
| Surgery time, min (range) | 177 (80-300) | 180 (60-345) | NS |
| Conversion | 2 (11.8) | 5 (19.2) | NS |
| Pringle | 5 (29.4) | 7 (26.9) | NS |
| Transfusion | 1 (5.8) | 5 (19.2) | < 0.05 |
| Drains | 15 (88.2) | 6 (23.1) | < 0.000 |
| ICU | 12 (70.6) | 4 (15.4) | < 0.000 |
Table 4 Complications, postoperative stay, morbidity and mortality n (%)
| Control group (n = 17) | Fast-track group (n = 26) | P value | |
| Postoperative stay | 3 (1-22) | 2.5 (1-39) | NS |
| < 3 d | 10 (58.8) | 7 (41.2) | |
| > 3 d | 21 (80.8) | 5 (19.2) | |
| Complications | 2 (11.8) | 3 (11.5) | NS |
| Readmissions | 1 (5.8) | 1 (3.8) | NS |
| Mortality | 0 | 0 |
- Citation: Sánchez-Pérez B, Aranda-Narváez JM, Suárez-Muñoz MA, elAdel-delFresno M, Fernández-Aguilar JL, Pérez-Daga JA, Pulido-Roa Y, Santoyo-Santoyo J. Fast-track program in laparoscopic liver surgery: Theory or fact? World J Gastrointest Surg 2012; 4(11): 246-250
- URL: https://www.wjgnet.com/1948-9366/full/v4/i11/246.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v4.i11.246