Enhanced Recovery Protocol in Laparoscopic Colorectal Surgery: Experience of a Medical Center in Central Taiwan

快速恢復路徑用於腹腔鏡大腸直腸手術

陳奕彰(Yi-Chang Chen) ； 林敬淳(Ching-Chun Lin) ； 黃郁純(Yu-Chun Huang) ； 張伸吉(Sheng-Chi Chang) ； 江驊哲(Hua-Che Chiang) ； 柯道維(Tao-Wei Ke) ； 王輝明(Hwei-Ming Wang) ； 陳自諒(William Tzu-Liang Chen)

《中華民國大腸直腸外科醫學會雜誌》 27卷1期 (2016/03) Pp. 36-44

https://doi.org/10.6312/SCRSTW.2016.27(1).10418

摘要

目的：快速恢復路徑已經證實於大腸直腸手術病人可以加速恢復，但運用於腹腔鏡大腸直腸手術的文獻報告數目卻不多。這篇文章中將提出我們快速恢復路徑運用於腹腔鏡大腸直腸手術的經驗與成果。方法：從2013年6月至2014年11月，536位病人接受腹腔鏡大腸直腸手術以及快速恢復路徑。所有病患基本資料，手術中資料，術後併發症，住院天數前瞻性收集以及回溯性分析。結果：全部536位病人接受腹腔鏡大腸直腸手術以及快速恢復路徑，並分成右結腸(150)、左結腸(306)、直腸(80)。平均住院天數：右結腸5.7天、左結腸5.97天、直腸7.1天。併發症：右結腸10.6%、左結腸10.1%、直腸13.6%。結論：快速恢復路徑運用於腹腔鏡大腸直腸手術是安全可行的。未來快速恢復路徑必須持續的更新發展以及更多的研究證實其可行性。

關鍵字

快速恢復路徑 ； 腹腔鏡手術 ； 大腸直腸切除手術

並列摘要

Purpose. Enhanced recovery protocol has been proven early recovery in colorectal surgery. However, limited case number was reported in laparoscopic colorectal surgery. In this article, we will present our outcome of enhanced recovery protocol applied in laparoscopic colorectal surgery. Patients and Methods. From Jun. 2013 to Nov. 2014, 536 patients who underwent elective laparoscopic colorectal surgery were enrolled and all followed the guidelines of enhanced recoveryprotocol. All the patient clinical characteristic data, surgical data, postoperative record were prospectively collected and retrospective analyzed. Results. Total 536 patients were recruited in this study and we subdivided into three, groups: right colon (150), left colon (306), rectum (80). Mean post-operative hospital; stay: right colon was 5.7 days (3~22), left colon was 5.97 days (3~33), rectum was 7.1 days (3~26). The overall complication rate: right colon was 10.6%, left colon was 10.1%, rectum was 13.7%. Conclusions. Our study showed enhanced recovery protocolin laparoscopic colorectal surgery was safe and feasible. The individual elements of fast track protocol will continue to evolve and further studies are still being developed.

並列關鍵字

Enhanced recovery protocol ； Fast track ； Laparoscopic colorectal surgery

參考文獻

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