Implementation of laparoscopic colectomy with fast-track care in an academic medical center: benefits of a fully ascended learning curve and specialty expertise

Outcome of Discharge Within 24 to 72 Hours After Laparoscopic Colorectal Surgery

“…In fact, it is by combining these protocols for open and laparoscopic operations for appropriate cases that providers can really offer the best and most efficient care to their patients. [31][32][33] CONCLUSIONS This study demonstrates that many patients who have laparoscopic colorectal surgery can be selected for an early discharge within the first 24 to 72 hours after surgery. These patients do well and have low readmission and complication rates.…”

Laparoscopic vs Open Colectomy for Colon Cancer: Results from a Large Nationwide Population-based Analysis

“…As such, recent increasing experience and technological advances have pushed laparoscopy to the forefront of surgical approach. Originally described in 1990-1991 for both polyps 3 and cancer, 4,5 laparoscopic colectomy for colon cancer has only recently become an accepted technique after the published results of the Clinical Outcomes of Surgical Therapy Study Group (COST) trial in of bowel function, 12 shorter hospital length of stay, 13 and even improved survival with a laparoscopic approach. 14,15 Multiple other variables are thought to influence access and adequacy of care, treatment decisions, and overall outcomes such as survival and cancer recurrence.…”

Enhanced Recovery After Surgery (ERAS) Implementation of a Protocol in Laparoscopic Colectomy, Initial Experience in a Single Institution in Argentina

“…The lack of early mobilisation should be considered a predictor of other failures, and taken as a red flag within the protocol; the same point is noted in the LAFA study [41][42][43][44][45]. In our series, 71% of the patients mobilised early, but no multivariate analysis was undertaken to assess patients who did not mobilise early.…”

“…The lack of compliance with the use of an epidural catheter by the anaesthetic team was 20%. We believe that this point is one of the most easily solved, since it is part of the education and learning curve, as observed in other experiences [42][43]. Despite having registered 5 complications due to this practice, none of them was serious and they were all reversible, but in 3 cases they led to a delay in the discharge.…”