Analysis on the effect of the application of fast track surgery care in the laparoscopic common bile duct exploration and primary suture of bile duct

Abstract

Objective To explore the effect the of application of the fast track surgery (FTS) care concept in the laparoscopic common bile duct exploration and primary suture (LBEPS). Methods A total of 150 patients scheduled to receive LBEPS were randomly divided into two groups according to the hospitalization number, with 75 cases in each group.All patients received the laparoscopic surgeons choledocholithotomy a suture conducted by the same set of doctors. The observation group was given FTS during perioperative care, while the control group received routine care.The clinical parameters (total hospital stay, total cost of hospitalization, postoperative abdominal drainage tube indwelling time, catheterization rate, etc) and laboratory parameters after 7 days' after operation (total protein, serum albumin, total bilirubin, alanine transaminase) of the two groups was compared. Results The total cost of hospitalization, total hospital stay, postoperative abdominal drainage tube indwelling catheter indwelling time of the observation group were lower than that of the control group, and the differences were statistically significant (P<0.05). The serum albumin, total protein on laboratory indexes of the observation group were significantly higher than that of the control group, and the total bilirubin, propionic Valley aminotransferase levels of the observation group were significantly lower than that of the control group (P<0.05). Conclusion The application of fast track surgery in LBEPS patients was shown good safety and efficacy, which can shorten the indwelling time of the postoperative abdominal drainage tube, reduce the indwelling rate, shorten hospital stay and reduce the total cost of hospitalization, and meanwhile it can improve postoperative liver immunity function, so as to accelerate the recovery of patients and reduce the suffering of patients. Key words: Fast track surgery; Laparoscopic; Common bile duct suture; LBEPS