Fast-Track Surgery May Reduce Complications Following Major Colonic Surgery

Zargar‐Shoshtari, Kamran; Connolly, Andrew B.; Israel, Lincoln; Hill, Andrew G.

doi:10.1007/s10350-008-9386-1

Cited by 71 publications

(59 citation statements)

References 39 publications

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“…Moreover, ERAS has provided better control of postoperative pain, faster rehabilitation, and return of gut function. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] We confirmed these findings in our previous study concerning colorectal surgery in general. 18 Rectal surgery is associated with higher complication rates and longer hospital stays than is colonic surgery.…”

supporting

confidence: 81%

Enhanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery

Teeuwen

Bleichrodt

Jong

et al. 2011

Diseases of the Colon &Amp; Rectum

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supporting

confidence: 81%

Enhanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery

Teeuwen

Bleichrodt

Jong

et al. 2011

Diseases of the Colon &Amp; Rectum

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“…van Dam et al [8] found differences in open hepatic surgery of 161 patients after a FT program (6 d vs 8 d, P < 0.0001). In colon surgery the reduction of the stay is clearly proved in several studies [6,7,18] , up to 3-4 d. Differences between our FT program and classical clinical pathway for patients who undergo laparoscopic liver surgery begin preoperatively. Due to the special characteristics of liver surgery, the possibility of being discharged less than 3 d after surgical procedure may be inconceivable.…”

Section: Dicussionmentioning

confidence: 99%

Fast-track program in laparoscopic liver surgery: Theory or fact?

Sánchez-Pérez¹,

Aranda-Narváez²,

Suárez-Muñoz³

et al. 2012

WJGS

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AIM:To analyze our results after the introduction of a fast-track (FT) program after laparoscopic liver surgery in our Hepatobiliarypancreatic Unit. RESULTS:Both groups were homogeneous in age and sex. No differences in technique, time of surgery or conversion to open surgery were found, but more malignant diseases were operated in the FTG, and then transfusions were higher in FTG. Readmissions and morbidity were similar in both groups, without mortality. Postoperative stay was similar, with a median of 3 for CG vs 2.5 for FTG. However, the 80.8% of patients from FTG left the hospital within the first 3 d after surgery (58.8% for CG). CONCLUSION:The introduction of a FT program after laparoscopic liver surgery improves the recovery of patients without increasing complications or re-admissions, which leads to a reduction of the stay and costs.

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“…We did not observe a significant difference between the two groups in terms of any specific or overall complications. Around the world, larger studies have actually shown a reduction in complications in FTS groups [23]. The small sample size and non-prospective nature of this study may have been one reason why we did not make similar observations.…”

Section: Discussionmentioning

confidence: 54%

Fast-Tracking Colostomy Closures

Nanavati

Prabhakar

2015

Indian J Surg

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There have been very few studies on applying fasttrack principles to colostomy closures. We believe that outcome may be significantly improved with multimodal interventions in the peri-operative care of patients undergoing this procedure. A retrospective study was carried out comparing patients who had undergone colostomy closures by the fasttrack and traditional care protocols at our centre. We intended to analyse peri-operative period and recovery in colostomy closures to confirm that fast-track surgery principles improved outcomes. Twenty-six patients in the fast-track arm and 24 patients in the traditional care arm had undergone colostomy closures. Both groups were comparable in terms of their baseline parameters. Patients in the fast-track group were ambulatory and accepted oral feeding earlier. There was a significant reduction in the duration of stay (4.73±1.43 days vs. 7.21± 1.38 days, p=0.0000). We did not observe a rise in complications or 30-day re-admissions. Fast-track surgery can safely be applied to colostomy closures. It shows earlier ambulation and reduction in length of hospital stay.

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Fast-Track Surgery May Reduce Complications Following Major Colonic Surgery

Abstract: Fast-track is a safe and effective approach for reducing hospital stay and morbidity following major colonic surgery.

Cited by 71 publications

References 39 publications

Enhanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery

Enhanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery

Fast-track program in laparoscopic liver surgery: Theory or fact?

Fast-Tracking Colostomy Closures

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