title: Clinical application of fast-track surgery with Chinese medicine treatment in the devascularization operation for cirrhotic portal hypertension.
abstract: OBJECTIVE
  To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices.
  
  
  METHODS
  Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013, and randomly assigned to a conventional group and a fast-track group (fast-track surgery combined with Chinese medicine treatment) using a randomized digital table, 36 cases in each group. Operation and anesthesia recovery time, postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period.
  
  
  RESULTS
  Compared with the conventional group, the fast-track group had longer operation time (253.6±46.4 min vs. 220.6±51.0 min) and anesthesia recovery time (50.5±15.9 min vs. 23.5±9.6 min; P<0.01); less bleeding (311.3±46.8 mL vs. 356.2±57.5 mL; P<0.01) and less transfusion (1932.3±106.9 mL vs. 2045.6±115.4 mL; P<0.01); as well as faster recovery of gastrointestinal function, shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred.
  
  
  CONCLUSIONS
  Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.
authors.affiliation: Xiangya Hospital of Central South University, Changsha, 410008, China.|Hepatobiliary Gland Surgery of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, 530011, China.
authors.forename: Yang-nian
authors.initials: YN
authors.lastname: Wei
authors.affiliation: Xiangya Hospital of Central South University, Changsha, 410008, China.
authors.forename: Nian-feng
authors.initials: NF
authors.lastname: Li
authors.affiliation: Minimally Invasive Center of First Affiliated Hospital of Guangxi Medical University, Nanning, 530001, China.
authors.forename: Xiao-yong
authors.initials: XY
authors.lastname: Cai
authors.affiliation: Minimally Invasive Center of First Affiliated Hospital of Guangxi Medical University, Nanning, 530001, China.
authors.forename: Bang-yu
authors.initials: BY
authors.lastname: Lu
authors.affiliation: Minimally Invasive Center of First Affiliated Hospital of Guangxi Medical University, Nanning, 530001, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Huang
authors.affiliation: Hepatobiliary Gland Surgery of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, 530011, China.
authors.forename: Shi-fa
authors.initials: SF
authors.lastname: Mo
authors.affiliation: Hepatobiliary Gland Surgery of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, 530011, China.
authors.forename: Hong-chang
authors.initials: HC
authors.lastname: Zhang
authors.affiliation: Xiangya Hospital of Central South University, Changsha, 410008, China.
authors.forename: Ming-dong
authors.initials: MD
authors.lastname: Wang
authors.affiliation: Department of Radiotherapy, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, 530011, China. wufasheng583@163.com.
authors.forename: Fa-sheng
authors.initials: FS
authors.lastname: Wu
mesh_terms: D000328:Adult; D000368:Aged; D000762:Anesthesia Recovery Period; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D002908:Chronic Disease; D004932:Esophageal and Gastric Varices / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008516:Medicine, Chinese Traditional; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications; D011184:Postoperative Period; D011788:Quality of Life; D013156:Splenectomy
keywords: Chinese medicine treatment; cirrhotic esophageal varices; fast-track surgery; portal-azygous disconnection; splenectomy