Fast Track in Intestinal Surgery; Current Review

Česká verzia

Authors: Z. Šerclová
Authors place of work: Chirurgická klinika FN Na Bulovce, Praha, přednosta: prof. MUDr. F. Antoš, CSc.
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 9, s. 527-535.
Category: Monothematic special - Original

Summary

Introduction:
Results of the elective surgical procedures are affected not only by quality of the procedure, but also by perioperative care. Accelerated postoperative rehabilitation (fast track) reduces the frequency of postoperative complications, shortens the length of hospital stay and increases the patients’ comfort. These modern procedures are subject to number of trials and they are even part of current European guidelines.

Aim:
The aim of this review is to evaluate scientific significance of the individual procedures in terms of fast track perioperative care and their comparison with traditional perioperative care.

Conclusion:
There is number of evidence that complex program of fast track postoperative rehabilitation improves postoperative healing. Its introduction into general practice could contribute to quality of perioperative care which differs greatly and often depends more on experiences than on scientific evidences.

Key words:
fast track – intestinal surgery

Zdroje

1. Kehlet, H. Organizing postoperative accelerated recovery programs. Reg. Anesth., 1996, Nov-Dec; 21(6 Suppl): 149–151. Review.

2. Fearon, K. C., Ljungqvist, O., von Meyenfeldt, M., Revhaug, A., Dejong, C. H., Lassen, K., Nygren, J., Hausel, J., Soop, M., Andersen, J., Kehlet, H. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin. Nutr., 2005, Jun; 24(3): 466–477.

3. Kehlet, H., Büchler, M. W., Beart, R. W. Jr., Billingham, R. P., Williamson, R. Care after colonic operation-is it evidence-based? Results from a multinational survey in Europe and the United States. J. Am. Coll. Surg., 2006, Jan; 202(l): 45–54.

4. Wind, J., Polle, S. W., Fung Kon Jin, P. H., Dejong, C. H., von Meyenfeldt, M. F., Ubbink, D. T., Gouma, D. J., Bemelman, W. A. Laparoscopy and/or Fast Track Multimodal Management Versus Standard Care (LAFA) Study Group; Enhanced Recovery after Surgery (ERAS) Group. Systematic review of enhanced recovery programmes in colonic surgery. Br. J. Surg., 2006, Jul; 93(7): 800–809. Review

5. Hasenberg, T., Keese, M., Langle, F., Reibenwein, B., Schindler, K., Herold, A., Beck, G., Post, S., Jauch, K. W., Spies, C., Schwenk, W., Shang, E. ‘Fast-track’ colonic surgery in Austria and Germany-results from the survey on patterns in current perioperative practice. Colorectal Dis., 2009, Feb; 11(2): 162–167.

6. Lassen, K., Hannemann, P., Ljungqvist, O., Fearon, K., Dejong, C. H., von Meyenfeldt, M. F., Hausel, J., Nygren, J., Andersen, J., Revhaug, A., Enhanced Recovery After Surgery Group. Patterns in current perioperative practice: survey of colorectal surgeons in five northern European countries. BMJ, 2005, Jun 18; 330(7505): 1420–1421.

7. Plodr, M., Ferko, A. Fast track in surgery. Rozhl. Chir., 2005, Nov; 84(11): 557–560.

8. Šerclová, Z., Dytrych, P., Marvan, J., Nová, K., Hankeová, Z., Ryska, O., Šlágrová, Z., Burešová, L., Trávníková, L., Antoš, F. Tolerance akcelerované pooperační rehabilitace po střevních resekčních výkonech. Rozhl. Chir., 2009., 88 (4): 178–840.

9. Hausel, J., Nygren, J., Lagerkranser, M., Hellstrom, P. M., Hammarqvist, F., Almström, C., Lindh, A., Thorell, A., Ljungqvist, O. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth. Analg., 2001, Nov; 93(5): 1344–1350.

10. Kluger, M. T., Visvanathan, T., Myburgh, J. A., Westhorpe, R. N. Crisis management during anaesthesia: regurgitation, vomiting, and aspiration. Qual. Saf. Healthcare, 2005, Jun; 14(3): e4.

11. Maltby, J. R., Pytka, S., Watson, N. C., Cowan, R. A., Fick, G. H. Drinking 300 mL of clear fluid two hours before surgery has no effect on gastric fluid volume and pH in fasting and non-fasting obese patients. Can. J. Anaesth., 2004, Feb; 51(2): 111–115.

12. Yagci, G., Can, M. F., Ozturk, E., Dag, B., Ozgurtas, T., Cosar, A., Tufan, T. Effects of preoperative carbohydrate loading on glucose metabolism and gastric contents in patients undergoing moderate surgery: a randomized, controlled trial. Nutrition, 2008, Mar; 24(3): 212–216.

13. Stuart, P. C. The evidence base behind modem fasting guidelines. Best Pract. Res. Clin. Anaesthesiol., 2006, Sep; 20(3): 457–469. Review

14. Svanfeldt, M., Thorell, A., Hausel, J., Soop, M., Nygren, J., Ljungqvist, O. Effect of „preoperative“ oral carbohydrate treatment on insulin action. A randomised cross-over unblinded study in healthy subjects. Clin. Nutr., 2005, Oct; 24(5): 815–821.

15. Ljungqvist, O., Nygren, J., Soop, M., Thorell, A. Metabolic perioperative management: novel concepts. Curr. Opin. Crit. Care, 2005, Aug; 11(4): 295–299. Review.

16. Yuill, K. A., Richardson, R. A., Davidson, H. I., Garden, O. J., Parks, R. W. The administration of an oral carbohydrate-containing fluid prior to major elective upper-gastrointestinal surgery preserves skeletal muscle mass postoperatively – a randomised clinical trial. Clin. Nutr., 2005, Feb; 24(1): 32–37.

17. Kaska, M., Grosmanová, T., Havel, E., Hyspler, R. Preparation of patients for operation with per-oral intake on the day of the planned surgery. Rozhl. Chir., 2006, Nov; 85(11): 554–559.

18. Weimann, A., Braga, M., Harsanyi, L., Laviano, A., Ljungqvist, O., Soeters, P. DGEM, Jauch, K. W., Kemen, M., Hiesmayr, J. M., Horbach, T., Kuse, E. R., Vestweber, K. H. ESPEN Guidelines on Enteral Nutrition: Surgery including organ transplantation. Clin. Nutr., 2006, Apr; 25(2): 180–186.

19. Slim, K., Vicaut, E., Launay-Savary, M. V., Contant, C., Chipponi, J. Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation before colorectal surgery. Ann. Surg., 2009, Feb; 249(2): 203–209.

20. Gravante, G., Caruso, R., Andreani, S. M., Giordano, P. Mechanical bowel preparation for colorectal surgery: a meta-analysis on abdominal and systemic complications on almost 5,000 patients. Int. J. Colorectal Dis., 2008, Dec; 23(12): 1145–1150.

21. Jung, B., Pahlman, L., Nyström, P. O., Nilsson, E., Mechanical Bowel Preparation Study Group. Multicentre randomized clinical trial of mechanical bowel preparation in elective colonic resection. Br. J. Surg., 2007, Jun; 94(6): 689–695.

22. Guenaga, K. K., Matos, D., Wille-Jorgensen, P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst. Rev., 2009, Jan 21; (l): CD001544. Review

23. Bretagnol, F., Alves, A., Ricci, A., Valleur, P., Panis, Y. Rectal cancer surgery without mechanical bowel preparation. Br. J. Surg., 2007, Oct; 94(10): 1266–1271.

24. Brandstrup, B. Fluid therapy for the surgical patient. Best Pract. Res. Clin. Anaesthesiol., 2006, Jun; 20(2): 265–283. Review.

25. Johnston, W. E. PRO: Fluid restriction in cardiac patients for noncardiac surgery is beneficial. Anesth. Analg., 2006, Feb; 102(2): 340–343.

26. Spahn, D. R., Chassot, P. G. CON: Fluid restriction for cardiac patients during major noncardiac surgery should be replaced by goal-directed intravascular fluid administration. Anesth. Analg., 2006, Feb; 102(2): 344–346.

27. Walsh, S. R., Tang, T. Y., Farooq, N., Coveney, E. C., Gaunt, M. E. Perioperative fluid restriction reduces complications after major gastrointestinal surgery. Surgery, 2008, Apr; 143(4): 466–468.

28. Brandstrup, B., Tonnesen, H., Beier-Holgersen, R. Danish Study Group on Perioperative Fluid Therapy. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann. Surg., 2003, Nov; 238(5): 641–648.

29. Abbas, S. M., Hill, A. G. Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery. Anaesthesia, 2008, Jan; 63(1): 44–51.

30. Walsh, S. R., Tang, T., Bass, S., Gaunt, M. E. Doppler-guided intra-operative fluid management during major abdominal surgery: systematic review and meta-analysis. Int. J. Clin. Pract., 2008, Mar; 62(3): 466–470.

31. White, P. F., Kehlet, H., Neal, J. M., Schricker, T., Carr, D. B., Carli, F., Fast-Track Surgery Study Group. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth. Analg., 2007, Jun; 104(6): 1380–1396.

32. Chopra, V., Plaisance, B., Cavusoglu, E., Flanders, S. A., Eagle, K. A. Perioperative beta-blockers for major noncardiac surgery: Primum Non Nocere. Am. J. Med., 2009, Mar; 122(3): 222–229.

33. Leslie, K., Myles, P. S., Chan, M. T., Paech, M. J., Peyton, P., Forbes, A., McKenzie, D., ENIGMA Trial Group. Risk factors for severe postoperative nausea and vomiting in a randomized trial of nitrous oxide-based vs nitrous oxide-free anaesthesia. Br. J. Anaesth., 2008, Oct; 101(4): 498–505.

34. Myles, P. S., Leslie, K., Chan, M. T., Forbes, A., Paech, M. J., Peyton, P., Silbert, B. S., Pascoe, E., ENIGMA Trial Group. Avoidance of nitrous oxide for patients undergoing major surgery: a randomized controlled trial. Anestesiology, 2007, Aug; 107(2): 221–231.

35. Orhan-Sungur, M., Kranke, P., Sessler, D., Apfel, C. C. Does suppjemental oxygen redukce postoperative nausea and vomiting? A meta-analysis of randomized controlled trials. Anesth. Analg., 2008, Jun; 106(6): 1733–1738. Review.

36. Greif, R., Akca, O., Horn, E. P., Kurz, A., Sessler, D. I. Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. Outcomes Research Group. N. Engl. J. Med., 2000, Jan 20; 342(3): 161–167.

37. Karthikesalingam, A., Walsh, S. R., Markar, S. R., Sadat, U., Tang, T. Y., Malata, C. M. Continuous wound infusion of local anaesthetic agents following colorectal surgery: systematic review and meta-analysis. World J. Gastroenterol., 2008, Sep 14; 14(34): 5301–5305. Review.

38. Zargar-Shoshtari, K., Hill, A. G. Optimization of perioperative care for colonic surgery: a review of the evidence. ANZ J. Surg., 2008, Jan-Feb; 78(1–2): 13–23. Review.

39. Basse, L., Jakobsen, D. H., Bardram, L., Billesbolle, P., Lund, C., Mogensen, T., Rosenberg, J., Kehlet, H. Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study. Ann. Surg., 2005, Mar; 241(3): 416–423.

40. King, P. M., Blazeby, J. M., Ewings, P., Franks, P. J., Longman, R. J., Kendrick, A. H., Kipling, R. M., Kennedy, R. H. Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme. Br. J. Surg., 2006, Mar; 93(3): 300–308.

41. Vlug, M. S., Wind, J., van der Zaag, E., Ubbink, D. T., Cense, H. A., Bemelman, W. A. Systematic review of laparoscopic vs open colonic surgery within an enhanced recovery programme. Colorectal Dis., 2009, May; 11(4): 335–343.

42. Nelson, R., Edwards, S., Tse, B. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst. Rev., 2007, Jul 18;(3): CD004929.

43. Pessaux, P., Regimbeau, J. M., Dondéro, F., Plasse, M., Mantz, J., Belghiti, J. Randomized clinical trial evaluating the need for routine nasogastric decompression after elective hepatic resection. Br. J. Surg., 2007, Mar; 94(3): 297–303.

44. Yang, Z., Zheng, Q., Wang, Z. Meta-analysis of the need for nasogastric or nasojejunal decompression after gastrectomy for gastric cancer. Br. J. Surg., 2008, Jul; 95(7): 809–816.

45. Satinský, I., Mitták, M., Foltys, A., Dostalík, J. Subhepatic drainage in laparoscopic cholecystectomy – a necessity or an overused tradition?. Rozhl. Chir., 2003, Aug; 82(8): 427–431.

46. Petrowsky, H., Demartines, N., Rousson, V., Clavien, P. A. Evidence-based value of prophylactic drainage in gastrointestinal surgery: a systematic review and meta-analyses. Ann. Surg., 2004, Dec; 240(6): 1074–1084

47. Wu, C. L., Cohen, S. R., Richman, J. M., et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis.a meta-analysis. Anaesthesiology, 2005; 103: 1079–1088.

48. Gendall, K. A., Kennedy, R. R., Watson, A. J., Frizelle, F. A. The effect of epidural analgesia on postoperative outcome after colorectal surgery. Colorectal Dis., 2007, Sep; 9(7): 584–598.

49. Liu, S. S., Wu, C. L. Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence. Anesth. Analg., 2007, Mar; 104(3): 689–702.

50. Marret, E., Remy, C., Bonnet, F., Postoperative Pain Forum Group. Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery. Br. J. Surg., 2007, Jun; 94(6): 665–673.

51. Pöpping, D. M., Elia, N., Marret, E., Remy, C., Tramer, M. R. Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: a meta-analysis. Arch. Surg., 2008, Oct; 143(10): 990–999; discussion 1000.

52. Hannemann, P., Lassen, K., Hausel, J., Nimmo, S., Ljungqvist, O., Nygren, J., Soop, M., Fearon, K., Andersen, J., Revhaug, A., von Meyenfeldt, M. F., Dejong, C. H., Spies, C. Patterns in current anaesthesiological peri-operative practice for colonic resections: a survey in five northern-European countries. Acta Anaesthesiol. Scand., 2006 Oct; 50(9): 1152–1160.

53. Neugebauer, E. A., Wilkinson, R. C., Kehlet, H., Schug, S. A., PROSPECT Working Group. PROSPECT: a practical method for formulating evidence-based expert recommendations for the management of postoperative pain. Surg. Endosc., 2007, Jul; 21(7): 1047–1053.

54. Lewis, S. J., Andersen, H. K., Thomas, S. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. J. Gastrointest. Surg., 2009, Mar; 13(3): 569–575.

54. Andersen, H. K., Lewis, S. J., Thomas, S. Early enteral nutrition within 24 h of colorectal surgery versus later commencement of feeding for postoperative complications. Cochrane Database Syst. Rev., 2006, Oct 18(4): CD004080.

55. Ng, W. Q., Neill, J. Evidence for early oral feeding of patients after elective open colorectal surgery: a literature review. J. Clin. Nurs., 2006, Jun 15(6): 696–709. Review.

56. Henriksen, M. G., Hansen, H. V., Hessov, I. Early oral nutrition after elective colorectal surgery: influence of balanced analgesia and enforced mobilization. Nutrition. 2002 Mar; 18(3): 263–267.

57. Lassen, K., Kjaeve, J., Fetveit, T., Trano, G., Sigurdsson, H. K., Horn, A., Revhaug, A. Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity: a randomized multicenter trial. Ann. Surg., 2008 May; 247(5): 721–729.

58. Senagore, A. J. Pathogenesis and clinical and economic consequences of postoperative ileus. Am. J. Health Syst. Pharm., 2007, Oct 15; 64(20 Suppl 13): S3–7.

59. Artinyan, A., Nunoo-Mensah, J. W., Balasubramaniam, S., Gauderman, J., Essani, R., Gonzalez-Ruiz, C., Kaiser, A. M., Beart, R. W. Jr. Prolonged postoperative ileus-definition, risk factors, and predictors after surgery. World J. Surg., 2008, Jul; 32(7): 1495–1500.

60. Kehlet, H. Postoperative ileus – an update on preventive techniques. Nat. Clin. Pract. Gastroenterol. Hepatol., 2008 Oct; 5(10): 552–558.

61. Vásquez, W., Hernández, A. V., Garcia-Sabrido, J. L. Is gum chewing useful for ileus after elective colorectal surgery? A systematic review and meta-analysis of randomized clinical trials. J. Gastrointest. Surg., 2009 Apr; 13(4): 649–656.

62. Chan, M. K., Law, W. L. Use of chewing gum in reducing postoperative ileus after elective colorectal resection: a systematic review. Dis. Colon Rectum, 2007, Dec; 50(12): 2149–2157. Review.

63. Noble, E. J., Harris, R., Hosie, K. B., Thomas, S., Lewis, S. J. Gum chewing reduces postoperative ileus? A systematic review and meta-analysis. Int. J. Surg., 2009, Apr; 7(2): 100–105.

64. Greenwood-Van Meerveld, B. Emerging drugs for postoperative ileus. Expert Opin. Emerg. Druha, 2007, Nov; 12(4): 619–626.

65. McNicol, E., Boyce, D. B., Schumann, R., Carr, D. Efficacy and safety of mu-opioid antagonists in the treatment of opioid-induced bowel dysfunction: systematic review and meta-analysis of randomized controlled trials. Pain Med., 2008, Sep; 9(6): 634–659.

66. Marderstein, E. L., Delaney, C. P. Management of postoperative ileus: focus on alvimopan. Ther. Clin. Risk. Manag., 2008, Oct 4(5): 965–973.

67. Kim do, J., Mayo, N. E., Carli, F., Montgomery, D. L., Zavorsky, G. S. Responsive measures to prehabilitation in patients undergoing bowel resection surgery. Tohoku J. Exp. Med., 2009, Feb 217(2): 109–115.

68. Carli, F., Zavorsky, G. S. Optimizing functional exercise capacity in the elderly surgical population. Curr. Opin. Clin. Nutr. Metab. Care, 2005, Jan 8(1): 23–32. Review

69. Lawrence, V. A., Cornell, J. E., Smetana, G. W., American College of Physicians. Strategies to reduce postoperative pulmonary complications after noncardiothoracic surgery: systematic review. Ann. Intern. Med., 2006, Apr 18; 144(8): 596–608.

70. Lindsetmo, R. O., Champagne, B., Delaney, C. P. Laparoscopic rectal resections and fast-track surgery: what can be expected? Am. J. Surg., 2009, Mar 197(3): 408–412.

71. Andersen, J., Hjort-Jakobsen, D., Christiansen, P. S., Kehlet, H. Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery. Br. J. Surg., 2007, Jul 94(7): 890–893.

72. Schwenk, W., Gunther, N., Wendling, P., Schmid, M., Probst, W., Kipfmuller, K., Rumstadt, B., Walz, M. K., Engemann, R., Junghans, T. „Fast-track“ Colon II Quality Assurance Group. „Fast-track“ rehabilitation for elective colonic surgery in Germany-prospective observational data from a multi-centre quality assurance programme. Int. J. Colorectal. Dis., 2008, Jan 23(1): 93–99.