期刊
CHIRURG
卷 78, 期 9, 页码 818-+出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00104-007-1354-0
关键词
colonic resection; fast track program; ERAS; survey; Germany
类别
Background. Despite the evidence that fast-track concepts in colon surgery lead to an enhanced recovery rate, there is no information on the prevalence and utilization of such programs in Germany. Methods. Based on a conventional sigmoid resection, we asked 1,270 surgical departments in Germany to describe their standard surgical procedures in a questionnaire. Results. The response rate was 385 (30.31 A total of 96% use a bowel preparation, 83% a vertical incision, 10% use a nasogastric decompression for longer then 1 day, 34% avoid intra-abdominal drains, 51% allow clear fluids on the day of surgery, 13% offer solid food on the first day after surgery, 75% use epidural analgesia and 47% discharge the patients by the seventh day after surgery. Conclusion. Although there is an evident benefit using fast-track concepts, they are not yet in wide use as a standard procedure. Further efforts have to be made to ensure that the majority of patients will benefit from these concepts.
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