Implementation of the scientific evidence into daily practice - example from fast-track colonic cancer surgery

被引：15

作者：

Hammer, J. ^{[1
]}

Harling, H. ^{[1
]}

Wille-Jorgensen, P. ^{[1
]}

机构：

[1] Univ Copenhagen, Bispebjerg Hosp, Dept Surg K, DK-2400 Copenhagen, Denmark

来源：

COLORECTAL DISEASE | 2008年 / 10卷 / 06期

关键词：

fast-track surgery; colon cancer;

D O I：

10.1111/j.1463-1318.2007.01469.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：593 / 598

页数：6

共 21 条

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