title: [The safety and efficiency of fast track surgery in gastric cancer patients undergoing D2 gastrectomy].
abstract: OBJECTIVE
  To investigate the safety and efficacy of fast track surgery (FTS) management in gastric cancer undergoing D2 gastrectomy.
  
  
  METHODS
  Eighty gastric cancer patients undergoing D2 gastrectomy were recruited prospectively. Patients were assigned to receive FTS management (n = 40) or conventional perioperative care (n = 40). The FTS care included shorten preoperative fasting time, no nasogastric decompressing tubes and abdominal drainage placed, early postoperative oral feeding, multimodal analgesia, and early mobilisation. The length of postoperative hospital stay, medical cost, nutritional status, gut function, and postoperative complications in the two groups were recorded and compared.
  
  
  RESULTS
  FTS group was associated with a significantly shorter postoperative hospital stay compared with conventional care group [(5.6 +/- 1.3) d vs. (9.4 +/- 1.9) d, P < 0.05]. Medical cost was less [(18 620 +/- 2360) Yuan vs. (20 370 +/- 2440) Yuan, P < 0.05] and duration of intravenous infusion [(3.5 +/- 1.4) d vs. (5.8 +/- 1.9) d, P < 0.05] was also shorter. First passage of flatus was earlier in FTS group than in conventional care group [(4.3 +/- 0.4) d vs. (5.5 +/- 0.9) d, P < 0.05]. Loss of body weight in the postoperative period was less in FTS group [(3.2 +/- 0.8) kg vs. (4.3 +/- 1.6) kg, P < 0.05]. There was no difference in morbidity or mortality between the two groups.
  
  
  CONCLUSIONS
  FTS in D2 gastrectomy is safe and efficient, and it can shorten postoperative hospital stay and hasten return of gut function.
authors.affiliation: Research Institute of General Surgery, Jinling Hospital, Nanjing 210002, China.
authors.forename: Zhi-wei
authors.initials: ZW
authors.lastname: Jiang
authors.forename: Jie-shou
authors.initials: JS
authors.lastname: Li
authors.forename: Zhi-ming
authors.initials: ZM
authors.lastname: Wang
authors.forename: Ning
authors.initials: N
authors.lastname: Li
authors.forename: Xin-xin
authors.initials: XX
authors.lastname: Liu
authors.forename: Wei-yan
authors.initials: WY
authors.lastname: Li
authors.forename: Si-hai
authors.initials: SH
authors.lastname: Zhu
authors.forename: Yan-qing
authors.initials: YQ
authors.lastname: Diao
authors.forename: Yong-jun
authors.initials: YJ
authors.lastname: Nai
authors.forename: Xiao-jing
authors.initials: XJ
authors.lastname: Huang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D011446:Prospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome