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Fast Track Concept in Colorectal Surgery in a Regional Hospital Setting


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.

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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.

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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.

Štítky
Surgery Orthopaedics Trauma surgery
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