The perioperative application prospect of fast-track surgery (FTS) in laparoscopic subtotal colectomy with antiperistalsis cecorectal anastomosis treatment for colonic slow transit constipation

Objective To investigate the perioperative application prospect of fast-track surgery(FTS)in laparoscopic subtotal colectomy with antiperistalsis cecorectal anastomosis treatment for colonic slow transit constipation (STC). Methods Fifty-five patients received subtotal colectomy with antiperistalsis cecorectal anastomosis treatment from January 2012 to June 2013 were divided into observation group and Control group. Twenty-eight patients of the control group were received routine care and guidance in the perioperative. Twenty-six patients of the observation group were received FTS treatment in the perioperative. The perioperative changes of body weight, the first exhaust time, the time to begin eating, the postoperative hospital stay, the hospitalization expenses and the clinical curative effect were compared between the two groups. Results The first exhaust time (t=6.882, P<0.05)、the time for eating (t=4.916, P<0.05)and the postoperative hospital stay (t=9.216, P<0.05) in the observation group was shorter compared with the control group. The weight loss in the observation group than that of the control group (t=10.021, P<0.05), The hospitalization expenses are fewer in the observation group than that of the control group (t=4.763, P<0.05), . One months after operation, the gastrointestinal quality of life index score (t=-2. 011, P<0.05) and WCS (t=2.150, P<0.05) in the observation group were better than those in the control group. Conclusion The postoperative curative effect of laparoscopic subtotal colectomy with antiperistaltic cecoproctostomy combined the perioperative nursing of fast track surgery was obvious, with good application value and prospect. Key words: Constipation; Fast track surgery; Laparoscopic subtotal colectomy with antiperistaltic cecoproctostomy; Slow-transit constipation