Fast Track Concept in Colorectal Surgery in a Regional Hospital Setting

Česká verzia

Authors: J. Holák
Authors place of work: Chirurgické oddělení nemocnice Strakonice, prim. : MUDr. J. Hlad
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 9, s. 524-526.
Category: Monothematic special - Original

Summary

Introduction:
Fast Track Concept is a draft of shorter and less stressful preoperative set up of patient, considerate operation technique and painless recovery with early start of enteral alimentation.

Aim:
This work presents Fast Track Concept and its possibilities in colorectal surgery.

Results:
We have treated 108 patients with this method on our workplace from April 2005 till August 2007. All of them underwent mostly elective resection of colon.

Resume:
Fast Track Concept in colorectal surgery is according to our opinion easy practicable even in conditions of smaller hospital and we assume, as well as literature says, that it is a benefit for the patient.

Key words:
Fast Track Concept – early enteral alimentation – colorectal surgery

Zdroje

1. Schwenk, W., Raue, W., Haase, O., Junghans, T., Muller, J.M. Fast-track-kolonchirurgie. Chirurg, 2004, č. 5, s. 508–514.

2. Bardram, L., Funch Jensen, P., Jensen, P., Crawford, M. E., Kehlet, H. Recovery after laparoscopic colonic surgery with epidural analgesia and early oral nutrition and mobilisation. Lancet, 1995, 345, s. 763–764.

3. Bardram, L., Funch Jensen, P., Kehlet, H. Rapid rehabilitation in elderly patients after laparoscopic colonic resektion. Br. J. Surg., 2000, 87, s. 1540–1545.

4. Basse, L. ,Billesbolle, P., Kehlet, H. Early recovery after abdominal rectopexy with multimodal rehabilitation. Dis. Colon Rectum, 2002, 45, s. 195–199.

5. Kehlet, H., Morgensen, T. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. Br. J. Surg., 1999, 86, s. 227–230.

6. Marusch, F., Gastinger, I., Schneider, C., et al. Laparoscopic Colorectal Surgery Study Group.Experience as a factor influencing the indications for laparoscopic colorectal surgery and the results. Surg. Endosc., 2001, 15, s. 116–120.

7. Marusch, F., Koch, A., Schmidt, U., et al. Prospektive Multizenterstudien Kolon/Rektumkarzinome als flachendeckende chirurgische Qualitatssicherung. Chirurg, 2002, 73, s. 138–146.

8. Marusch, F., Koch, A., Schimdt, U., et al. Effect of caseload on the short-term outcome of colon surgery: results of a multicenter study. Int. Colorectal Dis., 2001, 16, s. 362–369.

9. Staib, L., Link, K. H., Blatz, A., Berger, H. G. Surgery of colorectal cancersurgical morbidity and five-and ten-years results in 2400 patients-monoinstitucional experience. World J. Surg., 2002, 26, s. 59–66.

10. Motyčka, P., Doležal, B., Ferko, A., Šubrt, Z. Insuficience anastomóz u resekcí sigmoidea a rekta. Retrospektivní studie na chirurgické klinice v Hradci Králové. Rozhl. Chir, 2007, roč. 86, č. 1, s. 17–23.