TY - JOUR
TI - Enhanced recovery after surgery: Is it time to change our strategy regarding laparoscopic colectomy?
AU - Garmpis, N.
AU - Dimitroulis, D.
AU - Garmpi, A.
AU - Diamantis, E.
AU - Spartalis, E.
AU - Schizas, D.
AU - Angelou, A.
AU - Margonis, G.-A.
AU - Farmaki, P.
AU - Antoniou, E.A.
AU - Mantas, D.
AU - Markatos, K.
AU - Kontzoglou, K.
AU - Damaskos, C.
JO - In vivo (Athens, Greece)
PY - 2019
VL - 33
TODO - 3
SP - 669-674
PB - International Institute of Anticancer Research
SN - null
TODO - 10.21873/invivo.11525
TODO - abdominal surgery;  clinical outcome;  clinical protocol;  colon resection;  convalescence;  evidence based practice;  health care cost;  health care personnel;  human;  intermethod comparison;  laparoscopic surgery;  length of stay;  open surgery;  organizational structure;  patient compliance;  postoperative care;  postoperative complication;  Review;  stress;  surgical technique;  colon resection;  female;  laparoscopy;  male;  outcome assessment;  postoperative care;  procedures;  standards;  time factor, Colectomy;  Female;  Humans;  Laparoscopy;  Male;  Patient Outcome Assessment;  Postoperative Care;  Recovery of Function;  Time Factors
TODO - Enhanced recovery after surgery or ‘fast-track’ methods are evidence-based protocols designed to standardize post-operative medical care, improve patient outcomes, promote early recovery, and reduce healthcare expenditure. Fast-track surgery is a multifunctional concept involving pre-, peri- and post-operative measures aiming to reduce the length of hospital stay and morbidity and complication rates, following elective abdominal surgery. Through the optimization of peri-operative care and the recovery process in adherence to these fast-track protocols, improved outcomes are reached, surgical trauma and postoperative stress are reduced, with less surgical pain, reduced complications, and shorter length of hospital stay. Fast-track care requires a multidisciplinary collaboration of all healthcare professionals, as well as a high rate of protocol compliance and a good organizational structure. Despite the existing evidence of the benefits of fast-track protocols in a variety of surgical procedures and the similar outcomes of laparoscopic colonic surgery compared to open surgery, clear evidence of the benefits of fast-track care after laparoscopic colonic surgery is yet to be clearly demonstrated. © 2019 International Institute of Anticancer Research. All rights reserved.
ER -