Advantages of fast-track recovery after laparoscopic right hemicolectomy for colon cancer

Abstract

Fast-track recovery is independently associated with a shorter LOS and decreased morbidity after laparoscopic right hemicolectomy.

Case-matched series of enhanced versus standard recovery pathway in minimally invasive colorectal surgery

“…The readmission rates were within the wide range reported in the literature (2·9-27 per cent) 3,12,18,22 . Although not significant, this may have been a type II error.…”

“…Recently, fast-track approaches have been used in laparoscopic procedures, with a reported median hospital stay of 3 days 19 and 4 days 22 . The present results showed that further benefits can be achieved with ERP beyond the previous minimally invasive FTP within the same practice 18,19 .…”

Laparoscopic vs. Open Right Hemicolectomies: Short Term Outcomes within an Enhanced Recovery After Surgery Programme

“…Since the introduction of laparoscopic colorectal resections and ERAS, various groups have investigated the optimum combination of operative technique and peri-operative management [17,18,[26][27][28][29][30]. Studies have demonstrated laparoscopic colorectal resections together with ERAS reduces hospital stay by 2 -4 days compared to open procedures with ERAS [4,16].…”

“…Studies have demonstrated laparoscopic colorectal resections together with ERAS reduces hospital stay by 2 -4 days compared to open procedures with ERAS [4,16]. When comparing laparoscopic procedures within an ERAS setting or traditional post-operative management, the former combination has shown to be beneficial in terms of length of stay and wound infections [28].…”

Recovery after laparoscopic right hemicolectomy for colon cancer

“…To assess the effectiveness of laparoscopic colectomy in reducing the hospital stay and postoperative morbidity, Tsikitis et al [3] compared the results for patients who recover on a fast-track (FT) protocol after laparoscopic colectomy with those for patients who recover on a standard (non-FT) protocol. The authors analyzed the data for a cohort of 197 consecutive patients with colon cancer who underwent laparoscopically assisted right hemicolectomy.…”