Application of enhanced rehabilitation program in colorectal cancer surgery

• DOI: 10.3760/cma.j.issn.1671-7368.2010.06.007
• Publication Date: 2010-06-04
• Authors: Huachong Ma; Bo Zhao; Hui-Min Xu; Jinjie Cui; Guanghui Wei; Zhenjun Wang
• Keywords: Colorectal Surgery; Gastrointestinal function; Case fatality rate; Cancer surgery

Objective To assess efficacy and safety of enhanced rehabilitation program for patients with colorectal cancer surgery. Methods One hundred ten consecutive admitted to general surgery department at Beijing Chaoyang Hospital during October 2007 2009 undergone fasttrack were prospectively studied, 117 same by traditional perioperative treatment May 2005 September as controls. Restoration their gastrointestinal function, occurrence complications, fatality length hospital stay after surgical operation observed in the group control group. Results Demographic characteristics, stage classification illness methods comparable both groups. The first day air discharge from flux was earlier than that controls (2. 5 vs. 3. surgery, P ＜ 0. 05 ), former could tolerate solid food latter (6.0 6.7 days P=0.028). Overall morbidity complications less (23.6% 39. 3%,P =0. 011 ) shorter (9. 0 10. 8 041 ). There no difference mortality, incidence anastomotic leakage, infectious non-infectious between two Conclusions Enhanced is safe effective following accelerate restoration reduce shorten surgery.

Key words: Colorectal surgery; Enhanced-recovery programmes; Gastrointestinal function; Complications