期刊
COLORECTAL DISEASE
卷 10, 期 6, 页码 593-598出版社
WILEY
DOI: 10.1111/j.1463-1318.2007.01469.x
关键词
fast-track surgery; colon cancer
Objective To report the implementation and results of fast-track surgery for colonic cancer in the daily routine. Method A total of 131 consecutive patients scheduled for elective colonic cancer resections entered a fast-track perioperative course after thorough information. The regimen contained: no preoperative bowel cleansing, transverse and small abdominal incisions, no dains nor tubes, mobilization and normal meal the evening on the day of surgery, epidural analgesia, oral laxatives, and a planned discharge on postoperative day 3. Results Median number of days postoperative in hospital were 4 days (range 1-46). Eighty-nine per cent experienced an uncomplicated course, 3% were readmitted within 30 days, and the 30-day mortality was 3.8%. Conclusion Fast-track surgery is feasible in an unselected patient population scheduled for elective colon cancer resections without compromising quality.
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