Email updates

Keep up to date with the latest news and content from BMC Gastroenterology and BioMed Central.

Open Access Research article

“Fast track” rehabilitation after gastric cancer resection: experience with 80 consecutive cases

Jing-xiang Song, Xiao-huang Tu, Bing Wang, Chen Lin, Zai-zhong Zhang, Li-ying Lin and Lie Wang*

Author Affiliations

Department of General Surgery, Fuzhou General Hospital of Nanjing Military Command, No. 156 North Xi’erhuan Road, Fuzhou 350025, Fujian, China

For all author emails, please log on.

BMC Gastroenterology 2014, 14:147  doi:10.1186/1471-230X-14-147

Published: 18 August 2014

Abstract

Background

To evaluate the safety, efficacy and outcomes of fast-track rehabilitation applied to gastric cancer proximal, distal and total gastrectomy.

Methods

Eighty consecutive patients undergoing gastric cancer resection performed by a single surgeon, received perioperative multimodal rehabilitation. Demographic and operative data, gastrointestinal function, postoperative hospital stays, surgical and general complications and mortality were assessed prospectively.

Results

Of the 80 patients (mean age 56.3 years), 10 (12.5%) received proximal subtotal gastrectomy (Billroth I), 38 (47.5%) received distal (Billroth II), and 32 (40%) received total gastrectomy (Roux-en-Y). Mean operative time was 104.9 minutes and intraoperative blood loss was 281.9 ml. Time to first flatus was 2.8 ± 0.5 postoperative days. Patients were discharged at a mean of 5.3 ± 2.2 postoperative days; 30-day readmission rate was 3.8%. In-hospital mortality was 0%; general and surgical complications were both 5%.

Conclusions

Fast-track multimodal rehabilitation is feasible and safe in patients undergoing gastric cancer resection and may reduce time to first flatus and postoperative hospital stays.

Keywords:
Gastric cancer; Fast-track surgery; Perioperative treatment; Hospital stay; Morbidity