[The effect of preoperative preparation of the patient with rectal cancer on postoperative course]

Preoperative preparation of patients with rectal cancer prior to surgery consisted of a constant concern for both the surgeon and the doctor of anesthesia and intensive care. The purpose of the study is to compare postoperative results in terms of evolution (postoperative morbidity, severity, days of hospitalization) in patients who have undergone surgery for rectal cancer, some with classical preparation, others, according to the ERAS protocol.

During three years period (2005-2008) 88 patients with rectal cancer were operated at the Emergency Surgical Clinic of the "St. John" Hospital Iaşi.

41 patients were excluded from the study and operated in emergency without preoperative preparation. The rest 47 followed classical preparation (n=24) or the ERAS protocol (n=23). There were following data: age, gender, presence of associated comorbidities, need for blood transfusion, type of operation, complications, number of hospitalization days after surgery.

Postoperative complications occur more widely and are more severe in patients with rectal cancer who had preoperative classical preparation versus those who have received training in accordance with the ERAS protocol. Duration of hospitalization both in absolute and averaging appears to be influenced by the type of preoperative training records without having significant statistically differences.