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Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy
PURPOSE: The aim of this study was to analyze the effects of reduced fasting time on postoperative recovery in patients who underwent totally laparoscopic distal gastrectomy (TLDG). METHODS: This retrospective study included 347 patients who underwent TLDG. Patients were divided into 2 groups: reduc...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520227/ https://www.ncbi.nlm.nih.gov/pubmed/33029479 http://dx.doi.org/10.4174/astr.2020.99.4.205 |
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author | Jang, Sangtae Kang, Ayoung Ahn, Hong-min Hwang, Sun-Hwi Lee, Si-Hak |
author_facet | Jang, Sangtae Kang, Ayoung Ahn, Hong-min Hwang, Sun-Hwi Lee, Si-Hak |
author_sort | Jang, Sangtae |
collection | PubMed |
description | PURPOSE: The aim of this study was to analyze the effects of reduced fasting time on postoperative recovery in patients who underwent totally laparoscopic distal gastrectomy (TLDG). METHODS: This retrospective study included 347 patients who underwent TLDG. Patients were divided into 2 groups: reduced fasting time group (n = 139) and conventional feeding group (n = 208). We compared the total hospital cost and recovery parameters, such as postoperative complications, mean hospital stay, day of first flatus, initiation of soft diet, and serum CRP levels, between the 2 groups. RESULTS: The reduced fasting time group had a lower total hospital cost (P < 0.001) than the conventional feeding group. Regarding postoperative complications, there was no significant difference between the 2 groups (P = 0.085). Patients in the reduced fasting time group had a significantly shorter duration of mean hospital stay (P < 0.001), an earlier first flatus (P = 0.002), an earlier initiation of soft diet (P < 0.001), and lower level of serum CRP concentration (day of surgery, P = 0.036; postoperative days 2, 5, and 7, P = 0.01, 0.009, and 0.012, respectively) than patients in the conventional feeding group. CONCLUSION: Reduced fasting time can enhance postoperative recovery in patients who undergo TLDG and may reduce medical costs. |
format | Online Article Text |
id | pubmed-7520227 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-75202272020-10-06 Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy Jang, Sangtae Kang, Ayoung Ahn, Hong-min Hwang, Sun-Hwi Lee, Si-Hak Ann Surg Treat Res Original Article PURPOSE: The aim of this study was to analyze the effects of reduced fasting time on postoperative recovery in patients who underwent totally laparoscopic distal gastrectomy (TLDG). METHODS: This retrospective study included 347 patients who underwent TLDG. Patients were divided into 2 groups: reduced fasting time group (n = 139) and conventional feeding group (n = 208). We compared the total hospital cost and recovery parameters, such as postoperative complications, mean hospital stay, day of first flatus, initiation of soft diet, and serum CRP levels, between the 2 groups. RESULTS: The reduced fasting time group had a lower total hospital cost (P < 0.001) than the conventional feeding group. Regarding postoperative complications, there was no significant difference between the 2 groups (P = 0.085). Patients in the reduced fasting time group had a significantly shorter duration of mean hospital stay (P < 0.001), an earlier first flatus (P = 0.002), an earlier initiation of soft diet (P < 0.001), and lower level of serum CRP concentration (day of surgery, P = 0.036; postoperative days 2, 5, and 7, P = 0.01, 0.009, and 0.012, respectively) than patients in the conventional feeding group. CONCLUSION: Reduced fasting time can enhance postoperative recovery in patients who undergo TLDG and may reduce medical costs. The Korean Surgical Society 2020-10 2020-09-24 /pmc/articles/PMC7520227/ /pubmed/33029479 http://dx.doi.org/10.4174/astr.2020.99.4.205 Text en Copyright © 2020, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/4.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Jang, Sangtae Kang, Ayoung Ahn, Hong-min Hwang, Sun-Hwi Lee, Si-Hak Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy |
title | Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy |
title_full | Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy |
title_fullStr | Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy |
title_full_unstemmed | Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy |
title_short | Reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy |
title_sort | reduced fasting time in patients who underwent totally laparoscopic distal gastrectomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520227/ https://www.ncbi.nlm.nih.gov/pubmed/33029479 http://dx.doi.org/10.4174/astr.2020.99.4.205 |
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