Hammer J, Harling H, Wille-Jørgensen P. Implementation of the scientific evidence into daily practice--example from fast-track colonic cancer surgery.
Colorectal Dis 2008;
10:593-8. [PMID:
18318751 DOI:
10.1111/j.1463-1318.2007.01469.x]
[Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
OBJECTIVE
To report the implementation and results of fast-track surgery for colonic cancer in the daily routine.
METHOD
A total of 131 consecutive patients scheduled for elective colonic cancer resections entered a fast-track perioperative course after thorough information. The regimen contained: no preoperative bowel cleansing, transverse and small abdominal incisions, no drains nor tubes, mobilization and normal meal the evening on the day of surgery, epidural analgesia, oral laxatives, and a planned discharge on postoperative day 3.
RESULTS
Median number of days postoperative in hospital were 4 days (range 1-46). Eighty-nine per cent experienced an uncomplicated course, 3% were readmitted within 30 days, and the 30-day mortality was 3.8%.
CONCLUSION
Fast-track surgery is feasible in an unselected patient population scheduled for elective colon cancer resections without compromising quality.
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