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Fast-track protocols in devascularization for cirrhotic portal hypertension
Yang Fei1, Guang-quan Zong1, Jian Chen1
1Department of General Surgery, 81st Hospital of P.L.A., Nanjing, China.
Revista Da Associacao Medica Brasileira (1992)
|August 7, 2015
Summary
Fast-track surgery (FTS) improved outcomes for selective double portazygous disconnection with preserving vagus (SDPDPV) procedures. FTS significantly reduced complications and hospital stays while enhancing recovery.
Area of Science:
- Surgical Innovation
- Patient Outcomes Research
- Gastrointestinal Surgery
Background:
- Fast-track surgery (FTS) is increasingly adopted to enhance patient care and reduce costs.
- Selective double portazygous disconnection with preserving vagus (SDPDPV) is a surgical procedure where FTS protocols can be applied.
Purpose of the Study:
- To evaluate the impact of an FTS protocol on postoperative outcomes for SDPDPV.
- To compare FTS versus standard non-FTS postoperative care in SDPDPV patients.
Main Methods:
- Randomized controlled trial comparing FTS and non-FTS groups for SDPDPV.
- Data collection included postoperative complications, functional recovery time, and hospital stay duration.
Main Results:
- FTS group showed significantly faster gastrointestinal function recovery, improved food tolerance, and quicker rehabilitation.
- Postoperative complications (nausea, vomiting, ascites, infections) and overall morbidity (Clavien classification) were significantly lower in the FTS group.
- Hospital discharge was significantly faster in the FTS group.
Conclusions:
- The FTS protocol is safe and effective for SDPDPV.
- Adopting FTS improves gastrointestinal function recovery, reduces postoperative complications, and shortens hospital stays.