Advanced

Fast-track surgery: procedure-specific aspects and future direction.

Ansari, Daniel LU ; Gianotti, Luca; Schröder, Jörg and Andersson, Roland LU (2012) In Langenbeck's Archives of Surgery
Abstract
INTRODUCTION:

Fast-track (FT) surgery can be defined as a coordinated perioperative approach aimed at reducing surgical stress and facilitating postoperative recovery. The objective of this review was to examine the literature on the procedure-specific application of FT surgery.



DISCUSSION:

The concept of FT rehabilitation has been applied mainly in colorectal surgery, but positive data have appeared also in other areas such as orthopedic, hepatopancreaticobiliary, urological, upper gastrointestinal, gynecological, thoracic, vascular, endocrine, breast, and pediatric surgeries. There is very little experience with comprehensive FT programs in cardiac surgery or trauma. Quantitative analysis from... (More)
INTRODUCTION:

Fast-track (FT) surgery can be defined as a coordinated perioperative approach aimed at reducing surgical stress and facilitating postoperative recovery. The objective of this review was to examine the literature on the procedure-specific application of FT surgery.



DISCUSSION:

The concept of FT rehabilitation has been applied mainly in colorectal surgery, but positive data have appeared also in other areas such as orthopedic, hepatopancreaticobiliary, urological, upper gastrointestinal, gynecological, thoracic, vascular, endocrine, breast, and pediatric surgeries. There is very little experience with comprehensive FT programs in cardiac surgery or trauma. Quantitative analysis from randomized trials and cohort studies suggest that FT is effective in reducing hospital stay without increased adverse events. Other benefits of the FT approach include a reduction in complications, ileus, fatigue, pain, and hospital expenses. However, despite clear benefits of FT care, implementation in daily practice has been slow. Further efforts must be undertaken to secure implementation in routine clinical practice. Standardized FT protocols should be provided on a procedure-specific basis. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Langenbeck's Archives of Surgery
publisher
Springer
external identifiers
  • WOS:000312909500003
  • PMID:23014834
  • Scopus:84871741588
ISSN
1435-2451
DOI
10.1007/s00423-012-1006-9
language
English
LU publication?
yes
id
e2c3d196-ea13-4be6-b11d-c08bd115d86b (old id 3123624)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23014834?dopt=Abstract
date added to LUP
2012-10-03 20:59:28
date last changed
2016-11-20 04:21:26
@misc{e2c3d196-ea13-4be6-b11d-c08bd115d86b,
  abstract     = {INTRODUCTION: <br/><br>
Fast-track (FT) surgery can be defined as a coordinated perioperative approach aimed at reducing surgical stress and facilitating postoperative recovery. The objective of this review was to examine the literature on the procedure-specific application of FT surgery. <br/><br>
<br/><br>
DISCUSSION: <br/><br>
The concept of FT rehabilitation has been applied mainly in colorectal surgery, but positive data have appeared also in other areas such as orthopedic, hepatopancreaticobiliary, urological, upper gastrointestinal, gynecological, thoracic, vascular, endocrine, breast, and pediatric surgeries. There is very little experience with comprehensive FT programs in cardiac surgery or trauma. Quantitative analysis from randomized trials and cohort studies suggest that FT is effective in reducing hospital stay without increased adverse events. Other benefits of the FT approach include a reduction in complications, ileus, fatigue, pain, and hospital expenses. However, despite clear benefits of FT care, implementation in daily practice has been slow. Further efforts must be undertaken to secure implementation in routine clinical practice. Standardized FT protocols should be provided on a procedure-specific basis.},
  author       = {Ansari, Daniel and Gianotti, Luca and Schröder, Jörg and Andersson, Roland},
  issn         = {1435-2451},
  language     = {eng},
  month        = {09},
  publisher    = {ARRAY(0x8b04668)},
  series       = {Langenbeck's Archives of Surgery},
  title        = {Fast-track surgery: procedure-specific aspects and future direction.},
  url          = {http://dx.doi.org/10.1007/s00423-012-1006-9},
  year         = {2012},
}