Fast-Track Surgery of the Colon in Children

Abstract

Minimally invasive surgery is safe and effective in pediatric colonic surgery and allows a fast recovery time (fast-track).

Enhanced recovery after surgery in pediatric gastrointestinal surgery

“…Similarly, a study by Mattioli et al. 23 in 2009 showed that good bowel movement, rapid mobilization, and early feeding can be achieved by avoiding the use of drains, nasogastric tubes, and urinary catheters and by achieving acceptable pain control and limiting the use of systemic opioid drugs. Therefore, a combination of multimodal perioperative interventions rather than a single intervention on its own might contribute to more rapid postoperative recovery.…”

ERAS protocol for pediatric laparoscopic cholecystectomy promotes safe and early discharge

“…Only a handful of studies have evaluated the role of ERAS in pediatric surgery in general. Surgical procedures that have been studied include appendectomies, hypospadias repairs, nephrectomies, pyloromyotomies, fundoplications, ileocecectomies, and bowel surgeries requiring anastomoses [10][11][12][13][14]. Most of these studies did demonstrate a reduction in hospital length of stay when the ERAS protocol was implemented.…”

Feasibility of Emergency Laparoscopic Colectomy for Children with Acute Colonic Perforations and Fibropurulent Peritonitis

“…In children, the efficacy of laparoscopic colectomy has been demonstrated in a number of elective conditions, including inflammatory bowel disease, familial polyposis, and rare congenital anomalies [9][10][11][12]. In the developed Fig.…”

“…In children, the safety and efficacy of elective laparoscopic surgery for benign lesions of colon and rectum are well documented [9][10][11][12]. However, the role of laparoscopic surgery for urgent and emergent colectomy in children has never been described.…”