Evaluation of fast-track surgery combined with precise liver resection for patients undergoing liver resection

Objective To investigate the effects of fast-track surgery (FTS) combined with precise liver resection for perioperative care in patients undergoing liver resection. Methods A prospective study of 345 patients undergoing FTS together with precise liver resection was performed from Jan 2009 to Jan 2014. The patients were divided randomly into traditional group and FTS group. C-reactive protein (CRP), serum cortisol, blood glucose and other blood serum index were tested. Discharging time after operation, eating time, anus exhausting time, complications, hospital stay, and hospital fee were recorded. Results FTS group had obvious less changes than control group in cortisol and blood glucose after operation (P<0.05). And the out-of-bed, eating, anus exhausting time of FTS with precise liver resection group were significantly ahead of control group (P<0.05). FTS group also had shortened hospital days, decreased hospitalization fees, and no increased complications and readmission rate. Conclusion Fast-track surgery with precise liver resection is safe and effective for recommendation of liver resection. Key words: Fast-track surgery; Precise liver resection