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A Method for Tracking the Time Evolution of Steady-State Evoked Potentials
Published on: May 25, 2019
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The evolution of fast track protocols after oesophagectomy
Sara Jamel1, Karina Tukanova1, Sheraz R Markar1
1Department Surgery & Cancer, Imperial College London, London, UK.
Journal of Thoracic Disease
|May 14, 2019
Summary
Fast track protocols for oesophagectomy have evolved, improving patient recovery by reducing hospital stay and complications. Continued refinement, especially in nutrition, promises even better outcomes for esophageal cancer patients.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
- Evidence-Based Medicine
Background:
- Fast track protocols standardize patient care to enhance surgical recovery.
- Oesophagectomy protocols vary significantly due to surgical complexity.
- Understanding the evolution of these protocols is crucial for optimizing patient outcomes.
Purpose of the Study:
- To systematically review the evolution of fast track protocols in oesophagectomy.
- To assess the impact of these evolving protocols on postoperative outcomes.
- To identify key components and trends in fast track care for oesophagectomy.
Main Methods:
- Systematic review of electronic databases.
- Inclusion of 23 publications on fast track implementation in oesophagectomy.
- Inclusion of 30 publications evaluating specific fast track components.
Main Results:
- Fast track protocols for oesophagectomy have evolved consistently over time.
- Evolution has led to improvements in length of stay, anastomotic leak, pulmonary complications, and mortality.
- Recent trends show increased focus on nutritional support in oesophagectomy care.
Conclusions:
- Fast track protocols for oesophagectomy demonstrate a positive evolutionary trend with improved patient outcomes.
- Variations in protocol components necessitate ongoing assessment and targeted improvements.
- Future advancements in key components, particularly nutrition, will further enhance postoperative recovery and patient experience.
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