[Fast track recovery protocols for extended pelvic surgery].

Area of Science:

• Oncology
• Surgical Oncology
• Anesthesiology

Context:

• Extended pelvic surgery is a complex procedure often associated with significant morbidity.
• The introduction of standardized fast track surgery (FTS) protocols aims to optimize perioperative management and patient outcomes.
• This study evaluates the impact of an FTS protocol on immediate surgical results in patients undergoing extended pelvic surgery for malignant pelvic tumors.

Purpose:

• To compare the immediate outcomes of extended pelvic surgery performed before and after the implementation of a standardized FTS protocol.
• To assess the safety and efficacy of the FTS protocol in patients with locally advanced and recurrent malignant pelvic tumors.

Summary:

• A comparative study of 111 patients undergoing extended pelvic surgery for pelvic tumors, with 59 in the control group (traditional approach) and 52 in the main group (FTS protocol).
• Despite longer surgery times in the FTS group, there was a significant reduction in blood loss (p=0.029), blood transfusions (p=0.043), and local infectious complications (p=0.009).
• The FTS protocol demonstrated a lower incidence of mild complications (Clavien-Dindo class I-II) (p=0.034) and similar postoperative hospital stays compared to the traditional approach.

Impact:

• The FTS protocol is feasible and safe for patients with locally advanced and recurrent malignant pelvic tumors.
• Adoption of the FTS protocol can lead to decreased intraoperative blood loss, reduced need for blood transfusions, and a lower risk of postoperative infections.
• This evidence supports the integration of FTS protocols into routine clinical practice for optimizing outcomes in extended pelvic surgery.