結腸癌術後6日間退院クリティカルパスの縫合不全における中止基準の検討

概要

論文の詳細を見る
The critical pathway has been an indispensable tool for modern medical care. The critical pathway criteria used for the discharge of patients after colon cancer (CP) surgery has been determined to be six days. However, because of the possible development of complications, the six-day pathway cannot always be enforced. Therefore, symptoms involving complications must be detected early. The purpose of this examination was to find markers for these exceptions. Following colon cancer surgery, 62 subjects showed no post-operative complications, 3 cases suffered leakage (2 major cases, 1 minor) . 6 cases involved infected wounds, and 10 cases had various other complications. These data were compared with 62 cases without complications (control group) and 2 cases of major leaks (major leak group) and their white blood cell count (WBC), CRP, Total Protein, Cr and body temperature (BT) . The mean WBC and BT in the control group showed a maximum of 10036/ul and 37.3 degrees at 1 postoperative day (pod) ; these scores decreased afterward. As for the major leak group, the WBC did not return to a normal range at 3-pod, and a slight fever of about 37 degrees continued after 3-pod. These results suggest that serious complications can be avoided by monitoring WBC and BT.