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

References 

  1. Doyle RL. Healthcare Management Guidelines (Vol. I. Inpatient and Surgical Care). In: Radnor: Milliman & Robertson; 1995;p. 17–192
  2. Schoetz DJ, Bockler M, Rosenblatt MS, et al. “Ideal” length of stay after colectomy. Dis Colon Rectum. 1997;40:806–810
  3. Kehlet H, Wilmore DW. Fast-Track Surgery. Br J Surg. 2005;92:3–4
  4. Wilmore DW, Kehlet H. Recent advances: Management of patients in fast track surgery. BMJ. 2001;322:473–476
  5. Tonnesen H, Rosenberg J, Nielsen HJ, et al. Effect of preoperative abstinence on poor postoperative outcome in alcohol misusers: A randomized controlled trial. BMJ. 1999;318:1311–1316
  6. Mühling B, Orend KH, Sunder-Plassmann L. Fast track in thoracic surgery. Chirurg. 2009;80:706–710
  7. Guenaga KK, Matos D, Wille-Jørgensen P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst Rev. 2009;(1):CD:001544
  8. Holte K, Nielsen KG, Madsen JL, et al. Physiologic effects of bowel preparation. Dis Colon Rectum. 2004;47:1397–1402
  9. Sanders G, Mercer SJ, Saeb-Parsey K, et al. Randomized clinical trial of intravenous fluid replacement during bowel preparation for surgery. Br J Surg. 2001;88:1363–1365
  10. Santos JC, Batista J, Sirimarco MT, et al. Prospective randomized trial of mechanical bowel preparation in patients undergoing elective colorectal surgery. Br J Surg. 1994;81:1673–1676
  11. Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev. 2003;CD(4)004423
  12. Svanfeldt M, Thorell A, Hausel J, et al. Randomized clinical trial of the effect of preoperative oral carbohydrate treatment on whole-body protein and glucose kinetics. Br J Surg. 2007;94:1342–1350
  13. Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: A randomised controlled trial. Lancet. 2002;359:1812–1818
  14. Brandstrup B, Tonnesen H, Beier-Holgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: Comparison of two perioperative regimens. Ann Surg. 2003;238:641–648
  15. Wakeling HG, McFall MR, Jenkins CS, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth. 2005;634:95
  16. Conway DH, Mayall R, Abdul-Latif MS, et al. Randomised controlled trial investigating the influence of fluid titration using oesophageal Doppler monitoring during bowel surgery. J Anesth. 2002;257:845–849
  17. MacKay G, Ihedioha U, McConnachie A. Randomized clinical trial of the effect of postoperative intravenous fluid restriction on recovery after elective colorectal surgery. Br J Surg. 2006;93:1467
  18. Powell-Tuck J, Gosling P, Lobo DN, et al. British consensus guidelines on intravenous fluid therapy for adult surgical patients (GIFTASUP). http://www.ics.ac.uk/downloads/2008112340_GIFTASUP%30FINAL_05-01-09.pdf
  19. White PF. Ambulatory anesthesia advances into the new millennium. Anesth Analg. 2000;90:1234–1235
  20. Lenhardt R, Marker E, Goll V, et al. Mild intraoperative hypothermia prolongs postanesthetic recovery. Anesthesiology. 1997;87:1318–1323
  21. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization (Study of Wound Infection and Temperature Group). N Engl J Med. 1996;334:1209–1215
  22. Lourenco T, Murray A, Grant A, et al. Laparoscopic surgery for colorectal cancer: Safe and effective (—A systematic review). Surg Endosc. 2008;22:1146–1160
  23. Reza MM, Blasco JA, Andradas E, et al. Systematic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg. 2006;93:921–928
  24. Braga M, Frasson M, Vignali A, et al. Laparoscopic vs. open colectomy in cancer patients: Long term complications, quality of life, and survival. Dis Colon Rectum. 2005;48:2217–2223
  25. McDonnell JG, O'Donnell B, Curley G, et al. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: A prospective randomized controlled trial. Anesth Analg. 2007;104:193–197
  26. Basse L, Raskov HH, Jakobsen DH, et al. Accelerated postoperative recovery programme after colonic resection improves physical performance, pulmonary function and body composition. Br J Surg. 2002;89:446–453
  27. Andersen J, Hjort-Jakobsen D, Christiansen PS, et al. Readmission rates after a planned hospital stay of 2 vs 3 days in fast-track colonic surgery. Br J Surg. 2007;94:890–893
  28. Gouvas N, Tan E, Windsor A, et al. Fast-track vs standard care in colorectal surgery: A meta-analysis update. Int J Colorectal Dis. 2009;24:1119-1113
  29. Andersen HK, Lewis SJ, Thomas S. Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications. Cochrane Database Syst Rev. 2006;4:CD004080
  30. Kehlet H, Dahl JB. The value of multimodal or “balanced” analgesia in postoperative pain treatment. Anesth Analg. 1993;77:1048–1056
  31. McDonnell JG, O'Donnell B, Curley G, et al. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: A prospective randomized controlled trial. Anesth Analg. 2007;104:193–197
  32. Souter A, Fredman B, White PF. Controversies in the perioperative use of nonsteroidal antiinflammatory drugs. Anesth Analg. 1994;79:1178–1190
  33. Delaney CP, Wolff BG, Viscusi ER, et al. Alvimopan, for postoperative ileus following bowel resection: A pooled analysis of phase III studies. Ann Surg. 2007;245:355–363
  34. Traut U, Brugger L, Kunz R, et al. Systemic prokinetic pharmacologic treatment for postoperative adynamic ileus following abdominal surgery in adults. Cochrane Database Syst Rev. 2009;4:CD004930
  35. Holte K, Kehlet H. Postoperative ileus: Progress towards effective management. Drugs. 2002;62:603–615
  36. Pritts TA, Nussbaum MS, Flesch LV, et al. Implementation of a clinical pathway decreases length of stay and cost for bowel resection. Ann Surg. 1999;230:728–733
  37. Basse L, Hjort J, Dorthe RN, et al. A clinical pathway to accelerate recovery after colonic resection. Ann Surg. 2000;232:51–57
  38. Basse L, Thorbol JE, Lossl K, et al. Colonic surgery with accelerated rehabilitation or conventional care. Dis Colon Rectum. 2004;47:271–277
  39. Proske JM, Raue W, Neudecker J, et al. Fast track rehabilitation in colonic surgery: A prospective trial. Ann Chir. 2005;130:152–156
  40. Delaney CP, Zutshi M, Senagore AJ, et al. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Dis Colon Rectum. 2003;46:851–859
  41. Anderson ADG, McNaught CE, MacFie J, et al. Randomized clinical trial of multimodal optimization and standard perioperative surgical care. Br J Surg. 2003;90:1497–1504
  42. Kremer M, Ulrich A, Buchler MW, et al. Fast track surgery: The Heidelberg experience. Recent Results Cancer Res. 2005;165:14–20
  43. Susa A, Roveran A, Bocchi A, et al. Fast track approach to major colorectal surgery. Chir Ital. 2004;56:817–824
  44. Smedh K, Strand E, Jansson P, et al. Rapid recovery after colonic resection. Lakartidningen. 2001;98:256–258
  45. Gatt M, Anderson ADG, Reddy BS, et al. Randomized clinical trial of multimodal optimization of surgical care in patients undergoing major colonic resection. Br J Surg. 2005;92:1354–1362
  46. Muller S, Zalunardo MP, Hubner M, et al. Zurich Fast Track Study Group (A fast-track program reduces complications and length of hospital stay after open colonic surgery). Gastroenterology. 2009;136:842–847
  47. Jacobs M, Verjeda JC, Goldstein HS. Minimally invasive colon resection. Surg Laparosc Endosc. 1991;1:144–150
  48. Phillips EH, Franklin M, Carroll BJ, et al. Laparoscopic colectomy. Ann Surg. 1992;216:703–707
  49. Binderow MD, Cohen SM, Wexner SD, et al. Must early postoperative oral intake be limited to laparoscopy?. Dis Colon Rectum. 1994;37:584–589
  50. Ortiz H, Armendariz P, Yarnoz C. Early postoperative feeding after elective colorectal surgery is not a benefit unique to laparoscopy-assisted procedures. Int J Colorectal Dis. 1996;11:246–249
  51. Vlug MS, Wind J, van der Zaag E, et al. Systematic review of laparoscopic vs. open colonic surgery within an enhanced recovery programme. Colorectal Dis. 2009;11:335–343
  52. Basse L, Jokobsen DH, Bardram L, et al. Functional recovery after open versus laparoscopic colonic resection. Ann Surg. 2005;241:416–423
  53. King PM, Blazeby JM, Ewings P, et al. Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme. Br J Surg. 2006;93:300–308
  54. MacKay G, Ihedioha U, McConnachie A, et al. Laparoscopic colonic resection in fast-track patients does not enhance short-term recovery after elective surgery. Colorectal Dis. 2007;9:368–372
  55. Polle SW, Sind J, Furhring JW, et al. Implementation of a fast-track perioperative care program: What are the difficulities. Dig Surg. 2007;24:441–449
  56. Junghans T, Raue W, Haase O, et al. Value of laparoscopic surgery in elective colorectal surgery with “fast track” rehabilitation. Zentralbl Chir. 2006;131:298–303
  57. Delaney CP, Fazio VW, Senagore AJ, et al. Fast track postoperative management protocol for patients with high comorbidity undergoing complex abdominal and pelvic colorectal surgery. Br J Surg. 2001;88:1533–1538
  58. Kariv Y, Delaney CP, Senagore AJ, et al. Clinical outcomes and cost analysis of a “fast track” postoperative care pathway for ileal pouch-anal anastomosis: A case control study. Dis Colon Rectum. 2007;50:137–138
  59. DiFronzo LA, Yamin N, Patel K, et al. Benefits of early feeding and early hospital discharge in elderly patients undergoing open colon resection. Am Coll Surg. 2003;197:747–752
  60. Basse L, Madsen JL, Kehlet H. Normal gastrointestinal transit after colonic resection using epidural analgesia, enforced oral nutrition and laxative. Br J Surg. 2001;88:1498–1500
  61. Jacobsen DH, Sonnet E, Andresen J, et al. Convalescence after colonic surgery with fast track versus conventional care. Colorectal Dis. 2006;8:683–687
  62. Wind J, Polle SW, Fung K, et al. Systematic review of enhanced recovery programmes in colonic surgery. Br J Surg. 2006;93:800–809

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