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Updated: Jun 4, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Published on: March 24, 2023

Fast-track protocols in colorectal surgery.

Claire L Donohoe1, Mai Nguyen, Jessica Cook

  • 1Department of Surgery, Trinity Centre for Health Sciences, Trinity College Dublin/St James' Hospital, Dublin 8, Ireland. reynoljv@tcd.ie

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|February 24, 2011
PubMed
Summary
This summary is machine-generated.

Fast-track surgery (FTS) enhances recovery after colorectal procedures by reducing complications and hospital stays. Widespread adoption requires multidisciplinary team acceptance and organizational changes for structured peri-operative care.

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Area of Science:

  • Surgical Innovation
  • Evidence-Based Medicine
  • Peri-operative Care

Background:

  • Fast-track surgery (FTS) protocols aim to minimize surgical stress and improve patient outcomes.
  • Key goals include reducing complications, enhancing post-operative quality of life, and shortening hospital stays.

Purpose of the Study:

  • To review the evidence supporting FTS protocols in colorectal surgery.
  • To examine pre-operative, anaesthetic, intra-operative, surgical, and post-operative components of FTS.

Main Methods:

  • Systematic review of evidence-based practices in FTS for colorectal surgery.
  • Analysis of protocols covering the entire peri-operative pathway.

Main Results:

  • Evidence supports FTS approaches for improving recovery after colorectal surgery.
  • Despite proven benefits, the implementation of FTS protocols has been slow.

Conclusions:

  • Structured peri-operative care through FTS can significantly enhance colorectal surgery recovery.
  • Successful implementation hinges on multidisciplinary team buy-in and organizational adaptation.