Systemic review of fast-track surgery in patients undergoing laparoscopic colorectal resection
Song, K-cai.; Wang, Y-hai.; Li, T.; Zhang, W-bin.; Xu, X-cai.
Zhonghua Wei Chang Wai Ke Za Zhi 15(10): 1048-1052
2012
ISSN/ISBN: 1671-0274 PMID: 23099904 Document Number: 659027
To evaluate the efficacy and safety of fast track surgery(FTS) in patients undergoing laparoscopic colorectal resection. Randomized controlled trials(RCT) or clinical controlled trials(CCT) on fast-track surgery in patients undergoing laparoscopic colorectal resection were obtained from databases including CNKI, Wanfang, PubMed, EMBACE, and Cochrane Library between January 2000 and March 2012. Meta-analysis was performed with RevMan 5.1. There were 6 RCTs and 7 CCTs including 1795 patients. There were 955 patients in the FTS group and 840 in the control group. The time to passage of flatus was shorter(WMD=-1.37, 95%CI:-1.55~-1.19, P<0.05), time to resumption of diet/drink was shorter(WMD=-2.62, 95%CI:-2.69~-2.55, P<0.05), length of postoperative hospital stay was decreased(WMD=-1.63, 95%CI:-1.92~-1.34, P<0.05) and the incidence of postoperative complications were less(OR=0.52, 95%CI:0.41~0.67, P<0.05) in the FTS group. However, there were no differences in readmission(P>0.05). Fast-track surgery in patients undergoing laparoscopic colorectal resection can promote bowel function recovery, decrease the incidence of postoperative complications and length of hospital stay.