Τίτλος:
Enhanced recovery after surgery: Is it time to change our strategy regarding laparoscopic colectomy?
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Garmpis, N.
Dimitroulis, D.
Garmpi, A.
Diamantis, E.
Spartalis, E.
Schizas, D.
Angelou, A.
Margonis, G.-A.
Farmaki, P.
Antoniou, E.A.
Mantas, D.
Markatos, K.
Kontzoglou, K.
Damaskos, C.
Περιοδικό:
In vivo (Athens, Greece)
Εκδότης:
International Institute of Anticancer Research
Λέξεις-κλειδιά:
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
DOI:
10.21873/invivo.11525
