Study preparation * To progress this prospective study, the investigators analyzed the retrospective data of 426 patients who had been managed with conventional critical pathway after gastric cancer surgery during last 1 year. * Through this retrospective analysis, we decided the inclusion criteria which showed significantly the lower complication rate and shorter hospital stay. Method for Prospective study * Patients who enroll in this prospective study are administered and are supplied a liquid diet one day before surgery without bowel preparation. * After gastric cancer surgery, they start sips of water on postoperative first day, and they are discharged once they exhibit at least three times soft diet without specific complaint and had normal clinical status and physical examination.
Enrollment of patients * Before the patients are enrolled in this study, they give us informed consents. * A liquid diet is supplied beginning from the morning of the day prior to operation to the midnight. Operation and postoperative management * All procedures are approached by laparoscopic surgery, and partial gastrectomy with lymph node dissection are performed. * The patients who are considered to be difficult to progress early oral feeding in surgical field are excluded from the study. * Nasogastric tube is not applied to patients. * Postoperative pain is managed by non-opioid pain killer. * The patients are started on sips of water on the first postoperative day. * If they are tolerable, a liquid diet is started on the second postoperative day, and a soft diet on a third postoperative day for them. * We have a plan to discharge the patients on the fourth postoperative day if they exhibit at least three times soft diet without specific complaint and had normal clinical status and physical examination. Evaluation of patients \- The patients are followed up to 30 days after discharge from hospital, and we check whether they are tolerable without any compliant and are readmitted.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
109
The patients are started on sips of water on the first postoperative day. If they are tolerable, a liquid diet is started on the second postoperative day, and a soft diet on a third postoperative day for them. We have a plan to discharge the patients on the fourth postoperative day if they exhibit at least three times soft diet without specific complaint and had normal clinical status and physical examination.
Ajou University Hospital
Suwon, South Korea
RECRUITINGDrop rate from critical pathway
It is defined as the proportion of dropped patients from 4 days critical pathway
Time frame: 4 days
Postoperative pain
It is defined as the change of pain scale after surgery
Time frame: 7 days
Postoperative complication
It is defined the complications after surgery
Time frame: 30 days
Postoperative mortality
It will defined as the death case during 30 days after surgery
Time frame: 30 days
Recovery after surgery
It is defined as the time to first flatus and recovery of bowel activity after surgery
Time frame: 7 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.