Enhanced Recovery After Surgery: Is It Time to Change Our Strategy Regarding Laparoscopic Colectomy?

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-, per...

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Bibliographic Details
Published in:In vivo (Athens) 2019-05, Vol.33 (3), p.669-674
Main Authors: Garmpis, Nikolaos, Dimitroulis, Dimitrios, Garmpi, Anna, Diamantis, Evangelos, Spartalis, Eleftherios, Schizas, Dimitrios, Angelou, Anastasios, Margonis, Georgios-Antonios, Farmaki, Paraskevi, Antoniou, Efstathios A, Mantas, Dimitrios, Markatos, Konstantinos, Kontzoglou, Konstantinos, Damaskos, Christos
Format: Article
Language:English
Subjects:
Colectomy - adverse effects
Colectomy - methods
Female
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Male
Patient Outcome Assessment
Postoperative Care - methods
Postoperative Care - standards
Recovery of Function
Review
Time Factors
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Summary: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 post-operative 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.
ISSN:0258-851X
1791-7549
DOI:10.21873/invivo.11525