Seminars in Colon & Rectal Surgery
Volume 21, Issue 3 , Pages 170-175, September 2010

Outcomes of Fast-Track Pathways for Open and Laparoscopic Surgery

  • Timothy M. Geiger, MD

      Affiliations

    • Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, MA
  • ,
  • Graham MacKay, MBChB, MD, MRCS

      Affiliations

    • University Department of Surgery, Glasgow Royal Infirmary, Glasgow, UK
  • ,
  • Rocco Ricciardi, MD, MPH

      Affiliations

    • Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, MA
    • Corresponding Author InformationAddress reprint requests to Rocco Ricciardi, MD, MPH. Lahey Clinic, Tufts University, 41 Mall Road, Burlington, MA 01805

Perioperative outcomes after colorectal surgery can be significantly improved with fast-track recovery techniques by attenuating surgical stress responses and reducing postoperative organ dysfunction. Significant improvements in postoperative ileus and hospital length of stay can be achieved when fast-track programs are compared with traditional care for open surgery. However, whether the fast-track protocol is conducted with laparoscopic methods or open surgery, these protocols require multidisciplinary cooperation and continuous quality assurance to achieve optimal results.

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PII: S1043-1489(10)00047-3

doi:10.1053/j.scrs.2010.05.009

Seminars in Colon & Rectal Surgery
Volume 21, Issue 3 , Pages 170-175, September 2010