Fast-track surgery (FTS) improves postoperative recovery in patients with gastric cancer: a randomized comparison with conventional postoperative care

INTERVENTION: A:1. preoperative education was administered, no bowel preparation was performed, and patients were allowed to drink water until 2 hours before surgery; 2. Nasogastric tubes were used only when necessary in FTS group; 3. Tracheal intubation under general anesthesia combined with epidural block anesthesia; 4. received a restricted fluid regimen and vasopressor drugs;;(Group A to be continued):5. oral intake of clear water was instituted as soon as the effects of the anesthesia disappeared 6. remove urinary canal as soon as possible 7. Early activity; 8. Early eating. 9. Intradermal suture, 10. Epidural anesthesia and analgesia pain;B:According to the perioperative management principle of the 7th editing Surgery.; CONDITION: gastric carcinoma PRIMARY OUTCOME: visual analogue system (VAS);The duration of hospital stay, the fever duration, flatus time, hospital stay;complications; SECONDARY OUTCOME: resting energy expenditure (REE); INCLUSION CRITERIA: All of the patients were 1. age range from 18 to 80 years old; 2. clinically diagnosed as having gastric cancer, and the diagnosis was preoperatively confirmed by gastroscopic evaluation and intraoperative macroscopic assessment, the same surgeon complete the operation; 3. having no treatment before operation; 4. Child Pugh A or B; 5. normal hepatic ICG; 6. normal fasting glucose and normal OGTT test. having no disease of DM, other endocrine diseases, hypertension, gastroesophageal reflux and stomach dyskinesia, stomach slippery hernia,gastrointestinal tract obstruction diseases, Not taking hormone and so on; 7. BMI from 18 to 28 kg/m2; 8. WBC>4.0*10^9/L, Plt>100.0*10^9/L, Hb>90g/L; 9. signed and dated informed consent; 10. patients would like to be capable to finish a research plan all treatments, inspection and supervision.