Effect of fast track surgery on prognosis of patients with rectal cancer after modified transverse incision surgery

Abstract

Objective To explore the effect of fast track surgery (FTS) on prognosis of patients with rectal cancer after modified transverse incision surgery. Methods 136 patients with rectal cancer who were treated in Fuxin Second peoples’ hospital from January 2016 to March 2018 were selected and divided into the experiment group and the control group by random number table method, 68 cases in each group. The 2 groups underwent modified transverse incision surgery. The control group received routine nursing during the perioperative period, while the experiment group underwent nursing under the guidance of FTS. The postoperative gastrointestinal function related indexes, the depression and anxiety status at preoperative and 2 months after discharged were compared between the 2 groups, and the postoperative complications were recorded. Results Compared with the control group, the recovery time of bowel sounds, anal exhaust time, eating time and first defecation time significantly advanced in the experiment group, the level of plasma MTL significantly increased (P<0.01). Compared with preoperative, the scores of SDS and SAS significantly decreased at 2 month after discharge in the 2 groups, and the experiment group was significantly lower than the control group (P<0.01). The incidence of total complications in the experiment group was significantly lower than that in the control group (P<0.05). Conclusion Perioperative nursing under the guidance of FTS concept can significantly alleviate the perioperative adverse psychological emotions of patients with rectal cancer undergoing modified transverse incision surgery, promote postoperative gastrointestinal function recovery, reduce complications and improve patient prognosis. Key words: Fast track surgery; Rectal cancer; Modified transverse incision surgery; Prognosis