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A Journal on Surgery

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Minerva Chirurgica 2010 December;65(6):609-17

language: English

A flexible concept of fast track surgery for laparoscopic colorectal resections

Campagnacci R., Patrizi A., Piangatelli C., Rimini M., Guerrieri M.

1 Clinic of General Surgery and Surgical Methodology, Ospedali Riuniti, Ancona, Italy;
2 Divisione di Anestesia e Rianimazione, Ospedali Riuniti, Ancona, Italy


AIM: Laparoscopy per se improves the patient outcome allowing low pain, reduction of pulmonary dysfunction or less fatigue, better mood and psychological status on the operated on patient. In this study a series of laparoscopic colorectal resections underwent fast track in a “flexible” way.
METHODS: From March 2006 to March 2009, 75 patients undergoing laparoscopic colectomy for cancer have been prospectively evaluated. There were 46 males and 29 females with 61.4 years mean age (26-87). The cohort was divided in three group, 25 patient each, on the basis of the fast track treatment used. In the series A fast track on the whole, in the B fast track partial and in the C fast track postoperatively only.
RESULTS: Mean operating time was 81, 118, 142/76, 110, 151/83, 126, 145 minutes for right colectomy, left colectomy and rectal resection respectively in group A, B and C. The postoperative pain rating was less in the group A compared to B and C, with no differences concerning mobilization, flatus, resumption of solid feeding and mean postoperative hospital stay.
CONCLUSION: Fast track management in laparoscopic colectomy is safe and effective, but it seems not essential in reducing the total hospital stay.

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