Fast-track rehabilitation vs conventional care in laparoscopic colorectal resection for colorectal malignancy: A meta-analysis

被引：22

作者：

Ping Li ^{[1
,2
]}

Fang Fang ^{[1
,2
]}

Jia-Xun Cai ^{[1
,2
]}

Dong Tang ^{[1
,2
]}

Qing-Guo Li ^{[1
,2
,3
,4
]}

Dao-Rong Wang ^{[1
,2
]}

机构：

[1] Department of Gastrointestinal Surgery,Subei People’s Hospital of Jiangsu Province

[2] the First Affiliated Hospital of Yang Zhou University

[3] Department of Colorectal Surgery,Cancer Hospital Fudan University

[4] Department of Oncology,Shanghai Medical College,Fudan University

来源：

World Journal of Gastroenterology | 2013年 / 19卷 / 47期

基金：

中国国家自然科学基金;

关键词：

Laparoscopic surgery; Fast-track rehabilitation; Enhanced recovery; Colorectal surgery; Complications; Readmission;

D O I：

暂无

中图分类号：

R735.3 [肠肿瘤];

学科分类号：

100214 ;

摘要：

AIM:To evaluate the fast-track rehabilitation protocol and laparoscopic surgery(LFT)vs conventional care strategies and laparoscopic surgery(LCC).METHODS:Studies and relevant literature comparing the effects of LFT and LCC for colorectal malignancy were identified in MEDLINE,the Cochrane Central Register of Controlled Trials and EMBASE.The complications and re-admission after approximately 1 mo were assessed.RESULTS:Six recent randomized controlled trials(RCTs)were included in this meta-analysis,which related to 655 enrolled patients.These studies demonstrated that compared with LCC,LFT has fewer complications and a similar incidence of re-admission after approximately 1 mo.LFT had a pooled RR of 0.60(95%CI:0.46-0.79,P<0.001)compared with a pooled RR of 0.69(95%CI:0.34-1.40,P>0.5)for LCC.CONCLUSION:LFT for colorectal malignancy is safe and efficacious.Larger prospective RCTs should be conducted to further compare the efficacy and safety of this approach.

引用

页码：9119 / 9126

页数：8

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