title: [Promotion of postoperative recovery with fast track surgery for gastric cancer patients undergoing gastrectomy: a prospective randomized controlled study].
abstract: OBJECTIVE
  To study the safety and feasibility of fast track surgery (FTS) in the promotion of postoperative recovery for gastric cancer patients undergoing gastrectomy.
  
  
  METHODS
  From January to December in 2013, 71 gastric cancer patients were prospectively enrolled and randomized into the FTS group and the control group. Patient in the FTS group received FTS management and those in the control group received routine management. The postoperative recovery and stress were compared between the two groups.
  
  
  RESULTS
  FTS was associated with shorter time to bowel function return [(67.8±19.7) h vs. (90.0±20.6) h, P<0.01], shorter hospital stay [(13.5±3.0) d vs. (17.8±7.3) d, P=0.01], lower hospital cost [(23.8±3.7) thousand Yuan vs. (27.8±6.1) thousand Yuan, P<0.05], and less stress response (lower pain score, WBC count, C-reactive protein, all P<0.01). The postoperative complications including ileus, infection, anastomotic leakage were similar (all P>0.05).
  
  
  CONCLUSIONS
  Fast track surgery decreases postoperative stress response and promotes recovery.
authors.affiliation: Department of Gastrointestinal Oncology Surgery, The First Affiliated Hospital, Henan University of Science and Technology, Henan Luoyang 471003, China. samfeng137@hotmail.com.
authors.forename: Gongping
authors.initials: G
authors.lastname: Wang
authors.forename: Yantong
authors.initials: Y
authors.lastname: Yang
authors.forename: Bo
authors.initials: B
authors.lastname: Zhou
authors.forename: Ye
authors.initials: Y
authors.lastname: Chen
authors.forename: Canhui
authors.initials: C
authors.lastname: Jin
authors.forename: Zengfang
authors.initials: Z
authors.lastname: Wang
authors.forename: Zhenzhen
authors.initials: Z
authors.lastname: Wang
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Xiaoshan
authors.initials: X
authors.lastname: Feng
mesh_terms: D000368:Aged; D005260:Female; D005743:Gastrectomy; D006801:Humans; 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