Early Recovery After Gastric Cancer Surgery
Early Recovery After Gastric Cancer Surgery
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.
Inclusion Criteria:

 -  Patients who are diagnosed with gastric adenocarcinoma

 -  65 years old and blew

 -  Patients are expected to be undergone distal subtotal gastrectomy

 -  No complication by gastric cancer

 -  No synchronous metastatic lesions

 -  Laparoscopic or robotic surgery

 -  Informed consent

 Exclusion Criteria:

 -  Previous gastrectomy history

 -  Combined surgery due to synchronous malignancy

 -  Patients with major organ dysfunction