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目的：探讨不留置胃管在腹腔镜结直肠癌患者快速康复治疗中的临床应用价值。方法：选取2013年3月～2013年8月入院的47例行腹腔镜切除的结直肠癌患者随机分为试验组（快速康复组，FTS 组）与对照组， FTS 组术前不留置胃管，对照组留置胃管，观察两组患者术后肛门排气时间、术后住院时间、术后并发症发生率等指标。结果：FTS组患者术后肛门排气时间为（3.49±1.78）天，对照组为（5.25±1.93）天，FTS组患者开始进食时间为术后（3.51±1.88）天，对照组为术后（5.33±1.96）天，FTS组患者术后住院时间为（12.06±3.22）天，对照组为（14.83±4.39）天；相比对照组，试验组患者的术后肛门排气时间、术后进食时间、术后住院时间均缩短（P＜0.05）；消化道不良症状（腹胀、腹泻、恶心、呕吐等）发生率明显减少（P＜0.05）；而两组术后并发症（肠梗阻、吻合口瘘等）的发生率差异无统计学意义（P＞0.05）。结论：腹腔镜结直肠癌切除术术前不留置胃管，可明显减少术后不良消化道症状的发生，明显缩短术后肛门排气时间、开始进食时间及术后住院时间，可加快患者术后康复进程。“,”Objective:To investigate the rapid recovery efficacy of disusing of retaining stomach tube in colorectal cancer patients who accepted laparoscopic surgery.Methods:According to the patient’s medical teams,47 patients were di-vided into fast track surgery group (FTS group)without retaining stomach tube and control group with stomach tube during May 2013 to August 2013.Postoperative exhaust time,length of hospital stay,incidence of postoperative complications were compared between these two groups.Results:Postoperative exhaust time of FTS group was (3.49 ±1.78)days,and of control group was (5.25 ±1.93)days,food intake time of FTS group was (3.51 ±1.88)days,and of control group was (5.33 ±1.96)days,hospital stay of FTS group was (12.06 ±3.22)days,and control group was (14.83 ±4.39) days.Compared with control group,FTS group had shorter postoperative exhaust time,food intake time and length of hos-pital stay.Furth more,the incidence of adverse reaction of digestive tract were significantly lower in FTS group than that of the control group.There were no significantly difference between the two groups in the incidence of postoperative complica-tions.Conclusion:Colorectal cancer patients who accepted laparoscopic surgery without gastric tube retaining can obvious-ly reduce the incidence of gastrointestinal symptoms,shorten the exhaust time ,food intake time and postoperative hospital stay.It is an effective way to promote the recovery of patients.