| Item type |
学内発行雑誌 / Departmental Bulletin Paper(1) |
| 公開日 |
2020-08-19 |
| タイトル |
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|
タイトル |
Fast-track Surgery Protocol for Hepatectomy and the Rate of Surgical Site Infections: A Single-center Study |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
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|
資源タイプ |
departmental bulletin paper |
| 著者 |
ENAMI, Yuta
AOKI, Takeshi
KUSANO, Tomokazu
NOGAKI, Koji
MATSUDA, Kazuhiro
YAMADA, Kosuke
KOIZUMI, Tomotake
MITAMURA, Keitaro
FUJIMORI, Akira
KOIKE, Reiko
GOTO, Satoru
WATANABE, Makoto
OTSUKA, Koji
MURAKAMI, Masahiko
|
| 書誌情報 |
The Showa University journal of medical sciences
巻 32,
号 2,
p. 147-157,
発行日 2020-07
|
| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
The fast-track surgery protocol, including perioperative immunonutritional management, is increasingly gaining attention for the prevention of surgical site infections （SSIs）. To analyze the association between the fast-track surgery protocol employed at a single center and outcomes, including SSIs and the length of hospital stays. This retrospective analysis included 217 patients who underwent hepatectomy at the study department between January 2009 and February 2014. Patients were divided into two groups: those managed by a conventional protocol （group C, n＝75） and those managed by the fast-track surgery protocol （group F, n＝142）. There were no significant differences in patient characteristics or factors between the two groups. However, serum albumin and total cholesterol levels before surgery were significantly higher in group F than in group C, and pre-hepatectomy C-reactive protein （CRP） levels were lower in group F than in group C. Moreover, serum albumin and CRP levels at postoperative day 7 were better in group F than in group C. The operations were longer in group F than in group C （312 vs. 286 min） and blood loss volume was less （385 g in group F vs. 428 g in group C）. SSI rates were significantly lower in group F （4.2％, n＝6） than in group C （13.3％, n＝10）, and the length of hospital stay was significantly shorter in group F （16.7 days） than in group C （25.8 days）. The fast-track surgery protocol as a perioperative management strategy may improve preoperative nutritional status and postoperative inflammation, with subsequent reductions in SSI rates and the length of hospital stay in patients undergoing hepatectomy. |
| DOI |
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関連識別子 |
10.15369/sujms.32.147 |
| 出版者 |
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出版者 |
Showa University Society |
| ISSN |
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収録物識別子 |
2185-0968 |
| 出版タイプ |
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出版タイプ |
VoR |
S32_147.pdf (74.7 kB)
