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Fast track postoperative management after elective colorectal surgery: a controlled trail
Carlo V Feo1, Serena Lanzara, Davide Sortini
1Department of Surgery, Anesthesiology, and Radiology, University of Ferrara, Ferrara, Italy. cvfeo@unife.it
The American Surgeon
|December 17, 2009
Summary
Fast track surgery, a protocol including epidural analgesia and early feeding, safely reduces hospital stay for colorectal resection patients. This approach enhances recovery without increasing postoperative complications.
Area of Science:
- Colorectal Surgery
- Enhanced Recovery After Surgery (ERAS) Protocols
Background:
- Fast track surgery aims to minimize postoperative complications, costs, and improve patient outcomes.
- Advancements in anesthesia and understanding of surgical pathophysiology enable enhanced recovery protocols.
Purpose of the Study:
- To investigate the effects of a fast track protocol on postoperative morbidity, intestinal function, and hospitalization duration in colorectal resection patients.
- To compare outcomes between patients managed with a fast track protocol and a control group.
Main Methods:
- Fifty patients undergoing colorectal resection were managed using a fast track protocol (epidural analgesia, early ambulation, oral feeding).
- A control group of fifty patients received standard care (no epidural analgesia, early ambulation, early oral diet).
- Outcomes measured included morbidity, time to passage of flatus and stool, and length of hospital stay.
Main Results:
- No significant difference in postoperative complications was observed between the fast track (14 complications) and control (13 complications) groups.
- Intestinal function resumed in 3 days for the fast track group, compared to 4 days for the control group (P = NS).
- Hospital stay was significantly shorter for the fast track group (5 days) compared to the control group (7 days) (P < 0.01).
Conclusions:
- Fast track protocols are safe and effective for patients undergoing elective colorectal resections.
- Implementing fast track surgery can lead to a reduced length of hospital stay.
- This approach supports enhanced recovery after colorectal surgery.
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