Fast-track rehabilitation program vs conventional care after colorectal resection： A randomized clinical trial

• Published in: World journal of gastroenterology : WJG 2011-02, Vol.17 (5), p.671-676
• Main Authors: Wang, Gang, Jiang, Zhi-Wei, Xu, Jing, Gong, Jian-Feng, Bao, Yang, Xie, Li-Fei, Li, Jie-Shou
• Format: Article
• Language: English
• Subjects: Adult; Aged; Brief; Colectomy - rehabilitation; Colorectal Neoplasms - surgery; Female; Humans; Male; Middle Aged; Postoperative Complications; Postoperative Period; Time Factors; Treatment Outcome; 临床试验; 大肠癌; 康复; 快速通道; 恢复时间; 护理; 随机
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v17.i5.671

AIM To compare the fast-track rehabilitation program and conventional care for patients after resection of colorectal cancer. METHODS： One hundred and six consecutive patients who underwent fast-track rehabilitation program were encouraged to have early oral feeding and movement for early discharge, while 104 consecutive patients un- derwent conventional care after resection of colorectal cancer. Their gastrointestinal functions, postoperative complications and hospital stay time were recorded. RESULTS： The restoration time of gastrointestinal func- tions in the patients was significantly faster after fast- track rehabilitation program than after conventional care （2.1 d vs 3.2 d, P 〈 0.01）. The percentage of patients who developed complications was significantly lower 30 d after fast-track rehabilitation program than afterconventional care （13.2% vs 26.9%, P 〈 0.05）. Also, the percentage of patients who had general complica- tions was significantly lower 30 d after fast-track reha- bilitation program than after conventional care （6.6% vs 15.4%, P 〈 0.05）. The postoperative hospital stay time of the patients was shorter after fast-track rehabilitation program than after conventional care （5 d vs 7 d, P 〈 0.01）. No significant difference was observed in the re- admission rate 30 d after fast-track rehabilitation pro- gram and conventional care （3.8% vs 8.7%）. CONCLUSION： The fast-track rehabilitation program can significantly decrease the complications and shorten the time of postoperative hospital stay of patients after resection colorectal cancer.