지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.4
- 발행연도
- 2020.10
- 수록면
- 205 - 212 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to analyze the effects of reduced fasting time on postoperative recovery in patients who underwent totally laparoscopic distal gastrectomy (TLDG).
Methods: This retrospective study included 347 patients who underwent TLDG. Patients were divided into 2 groups: reduced fasting time group (n = 139) and conventional feeding group (n = 208). We compared the total hospital cost and recovery parameters, such as postoperative complications, mean hospital stay, day of first flatus, initiation of soft diet, and serum CRP levels, between the 2 groups.
Results: The reduced fasting time group had a lower total hospital cost (P ＜ 0.001) than the conventional feeding group. Regarding postoperative complications, there was no significant difference between the 2 groups (P = 0.085). Patients in the reduced fasting time group had a significantly shorter duration of mean hospital stay (P ＜ 0.001), an earlier first flatus (P = 0.002), an earlier initiation of soft diet (P ＜ 0.001), and lower level of serum CRP concentration (day of surgery, P = 0.036; postoperative days 2, 5, and 7, P = 0.01, 0.009, and 0.012, respectively) than patients in the conventional feeding group.
Conclusion: Reduced fasting time can enhance postoperative recovery in patients who undergo TLDG and may reduce medical costs.
Methods: This retrospective study included 347 patients who underwent TLDG. Patients were divided into 2 groups: reduced fasting time group (n = 139) and conventional feeding group (n = 208). We compared the total hospital cost and recovery parameters, such as postoperative complications, mean hospital stay, day of first flatus, initiation of soft diet, and serum CRP levels, between the 2 groups.
Results: The reduced fasting time group had a lower total hospital cost (P ＜ 0.001) than the conventional feeding group. Regarding postoperative complications, there was no significant difference between the 2 groups (P = 0.085). Patients in the reduced fasting time group had a significantly shorter duration of mean hospital stay (P ＜ 0.001), an earlier first flatus (P = 0.002), an earlier initiation of soft diet (P ＜ 0.001), and lower level of serum CRP concentration (day of surgery, P = 0.036; postoperative days 2, 5, and 7, P = 0.01, 0.009, and 0.012, respectively) than patients in the conventional feeding group.
Conclusion: Reduced fasting time can enhance postoperative recovery in patients who undergo TLDG and may reduce medical costs.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (29)
참고문헌 신청
Ki Bum Park / 2019 / Impact of body mass index on quality of life after distal gastrectomy for gastric cancer / Annals of Surgical Treatment and Research 96(5):250~258
Warner MA / 1993 / Clinical significance of pulmonary aspiration during the perioperative period / Anesthesiology 78:56~62
de Agui lar-Nascimento JE / 2010 / Reducing preoperative fasting time : a trend based on evidence / World J Gastrointest Surg 2:57~60
Ahn HS / 2011 / General perioperative management of gastric cancer patients at high-volume centers / Gastric Cancer 14:178~182
Lassen K / 2005 / Nutritional support and oral intake after gastric resection in five northern European countries / Dig Surg 22:346~352
Warner MA / 1993 / Clinical significance of pulmonary aspiration during the perioperative period / Anesthesiology 78:56~62
de Agui lar-Nascimento JE / 2010 / Reducing preoperative fasting time : a trend based on evidence / World J Gastrointest Surg 2:57~60
Ahn HS / 2011 / General perioperative management of gastric cancer patients at high-volume centers / Gastric Cancer 14:178~182
Lassen K / 2005 / Nutritional support and oral intake after gastric resection in five northern European countries / Dig Surg 22:346~352
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UCI(KEPA) : I410-ECN-0101-2020-514-001293280