Spatz, H. and Zuelke, C. and Beham, A. and Agha, A. and Bolder, U. and Krenz, D. and Fuerst, A. and Lattermann, R. and Groeppner, G. and Hemmerich, B. and Piso, P. and Schlitt, Hans J. (2006) Fast-Track for laparoscopic-assisted rectum resection - What can be achieved? First results of a feasibility study. ZENTRALBLATT FUR CHIRURGIE, 131 (5). pp. 383-387. ISSN 0044-409X, 1438-9592
Full text not available from this repository. (Request a copy)Abstract
Aim: "Fast-track" multimodal rehabilitation is increasingly entering the perioperative management strategies in colon surgery aiming at minimized perioperative morbidity and accelerated recovery. So far little is known about the complementary effects of minimally invasive surgery along with "fast-track" rehabilitation in the treatment of rectal cancer. The aim of this pilot study was to investigate the influence of "fast-track" perioperative management on morbidity, recovery and length of hospital stay in laparoscopically-assisted rectum resections and to compare those data to earlier results. Methods: An interdiciplinary "fast-track" multimodal rehabilitation strategy with avoidance of mechanical bowel cleansing, with a restrictive intravenous intra- and postoperative fluid regimen, forced mobilisation, and early enteral nutrition was introduced into clinical practice and applied in 16 laparoscopically-assisted rectum resections. Data were collected in the course af a prospective analysis. The mean patient age was 62 (42-79) years. Results: Mean time of surgery was 245 (SD 46) min, and the mean intraoperative infusion rate was 11.2 (SD 2.6) ml/kg/BW. On day 2,14 of the 16 patients tolerated solid food and 12 patients had had bowel movements. All patients returned to their initial body weight by day 4. The median postoperative hospital stay was 7.5 days (6-20), 12 patients were discharged between day 6 and 8. Two patients were readmitted for intestinal atony, one patient developed an anastomotic leakage. Conclusions: "Fast-track" rehabilitation is feasible in rectum surgery and seems to complement the beneficial effects of minimally invasive surgery without increasing the complication rate.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | COLONIC RESECTION; SURGERY; RECOVERY; METAANALYSIS; MANAGEMENT; DRAINAGE; CANCER; TRIAL; rectum resection; laparoscopy; laparoscopic surgery; fast-track |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 27 Jan 2021 09:52 |
| Last Modified: | 27 Jan 2021 09:52 |
| URI: | https://pred.uni-regensburg.de/id/eprint/34003 |
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