Impact of fast-track surgery on perioperative care in patients undergoing hepatobiliary surgery

Xiao-Hong Wang; Fang-Fang Chen; Jia Pan; Yun-Fei Jiang; Min-Yue Yao; Jia-Li Mao; Ya-Feng Xu

doi:10.4240/wjgs.v16.i10.3155

Impact of fast-track surgery on perioperative care in patients undergoing hepatobiliary surgery

World J Gastrointest Surg. 2024 Oct 27;16(10):3155-3162. doi: 10.4240/wjgs.v16.i10.3155.

Authors

Xiao-Hong Wang¹, Fang-Fang Chen¹, Jia Pan¹, Yun-Fei Jiang¹, Min-Yue Yao¹, Jia-Li Mao¹, Ya-Feng Xu²

Affiliations

¹ Department of General Surgery, Kecheng District People's Hospital, Quzhou 324000, Zhejiang Province, China.
² Department of General Surgery, Kecheng District People's Hospital, Quzhou 324000, Zhejiang Province, China. 13002640208@163.com.

Abstract

Background: Fast-track surgery (FTS) is a modern nursing approach that has gained popularity in the perioperative phase of surgery.

Aim: To investigate the impact of FTS on perioperative care for hepatobiliary surgery.

Methods: A retrospective analysis was performed on 98 patients who underwent hepatobiliary surgery and were admitted to our hospital from August 2021 to October 2023. They were divided into an observation group and a control group with 49 patients in each group according to different nursing directions. The control group was treated with standard nursing and the observation group was treated with FTS concept nursing. The length of hospital stay, visual analog scale (VAS) score, wound complications, nursing satisfaction, self-rating scale (SAS) score, and SF-36 quality of life (QoL) score were compared between the two groups before and after care.

Results: The duration of hospitalization, hospitalization cost, operation time, first implantation time, exhaust time, and first defecation time were shorter than the observation group (P < 0.05). Additionally, the observation group showed a significant difference between the VAS and SAS scores on days 1, 3, and 7 (P < 0.05). The complication rate in the observation group was 4.05% was significantly lower than the 18.36% in the control group, and the comparison groups were statistically significant (χ ² = 5.018, P = 0.025). The observation group had a significantly higher level of nurse satisfaction (94.92%) than the control group (79.59%; χ ² = 6.078, P = 0.014). Both groups showed higher QoL scores after nursing care, with higher scores in the observation group than in the control group (P = 0.032).

Conclusion: FTS in patients undergoing hepatobiliary surgery can effectively improve negative mood, QoL, and nursing satisfaction; reduce wound complications; and accelerate patient rehabilitation.

Keywords: Fast track surgery; Hepatobiliary surgery; Quality of life; Rapid rehabilitation surgery concept; Wound complications.