Fast-track laparoscopic surgery: A better option for treating colorectal cancer than conventional laparoscopic surgery

• Published in: Oncology letters 2015-07, Vol.10 (1), p.443-448
• Main Authors: TAUPYK, YERLAN, CAO, XUEYUAN, ZHAO, YINQUAN, WANG, CHAO, WANG, QUAN
• Format: Article
• Language: English
• Subjects: Analgesics; Anesthesia; Antibiotics; Cancer; Care and treatment; Clinical trials; Colorectal cancer; Comparative analysis; Disease; fast-track surgery; Fasting; Hospitals; Infections; Laparoscopic surgery; Laparoscopy; Metastasis; Nutrition research; Oncology; Oncology, Experimental; Patients; Proteins; randomized trial; Standard deviation; Surgery; Surgical outcomes
• ISSN: 1792-1074; 1792-1082
• DOI: 10.3892/ol.2015.3166

Fast-track surgery (FTS), a multimodal rehabilitation technique, has been recommended as surgical therapy for colorectal cancer. The objective of the present study was to compare the outcomes of FTS and conventional laparoscopic surgery. This study was a blinded randomized trial. A total of 70 patients with colorectal cancer were divided into two groups and underwent laparoscopic colorectal resection. The FTS group consisted of 31 patients and the control group consisted of 39 patients. Protocols for the treatment of the FTS group included skipping pre-operative mechanical bowel preparation, early restoration of diet and early post-operative ambulation. Outcome measures, length of hospital stay, post-operative surgical stress response [C-reactive protein (CRP)] and post-operative complications were compared between the two groups. The average length of total hospital stay for the FTS and the control groups was 5.9±0.8 and 10.9±1.3 days, respectively (P