Fast-Track Colorectal Surgery and Perioperative Outcomes

Fast-track recovery has had a dramatic effect on perioperative outcomes following colorectal surgery. By introducing an integrated care pathway it is possible to attenuate the surgical stress response and reduce postoperative organ dysfunction. Evidence from randomized trials has shown reductions in the duration of postoperative ileus and hospital stay when compared with traditional care. Further evidence suggests that enhanced recovery also improves postoperative morbidity including exercise tolerance, muscle function, fatigue, and return to normal activities. Although the approach requires experience and close multidisciplinary cooperation for the best results, it has proven to be reproducible across a wide cohort of patients and procedures.