Effectiveness of the Fast Track Surgery Program for Patients with Planned Cholecystectomy

Area of Science:

• Surgical Innovation
• Gastroenterology
• Patient Recovery Protocols

Background:

• Gallbladder surgery, specifically cholelithiasis treatment, often involves significant patient stress and recovery time.
• Enhanced recovery programs aim to optimize surgical outcomes by minimizing trauma and stress response.

Purpose of the Study:

• To evaluate the effectiveness of a fast track surgery (FTS) protocol versus standard care for planned gallbladder operations.
• To assess FTS's impact on minimizing surgical trauma and stress reaction.
• To determine the influence of FTS on restoring normal body function post-cholelithiasis surgery.

Main Methods:

• A prospective comparison study involving 30 patients with cholelithiasis, randomly assigned to FTS (n=15) or standard care (n=15).
• Patients underwent prescribed surgeries with no mortality or significant complications reported in either group.
• Preoperative parameters were statistically homogeneous between the groups.

Main Results:

• The FTS protocol demonstrated significantly better treatment results, with 86.6% of patients achieving good outcomes compared to 13.3% in the standard group (p=0.016).
• FTS was identified as a significant predictor of successful treatment (OR 3.1; p=0.033).

Conclusions:

• The fast track surgery protocol offers superior results for surgical treatment of cholelithiasis compared to the standard protocol.
• FTS effectively enhances patient recovery and treatment success in gallbladder surgery.