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Implementation of the scientific evidence into daily practice – example from fast‐track colonic cancer surgery
Author(s) -
Hammer J.,
Harling H.,
WilleJørgensen P.
Publication year - 2008
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2007.01469.x
Subject(s) - medicine , fast track , evening , perioperative , surgery , colorectal cancer , elective surgery , regimen , colonic cancer , cancer , general surgery , physics , astronomy
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.