A clinical pathway to accelerate recovery after colonic resection.

摘要: The postoperative hospital stay after colonic resection is usually 6 to 12 days, 1–6 with a complication rate of 10% 20%, because many patients are elderly and at high risk. recent introduction multimodal rehabilitation regimens including epidural analgesia, early enteral nutrition, mobilization revision the surgical care program have reduced approximately 5 days. 7–9 laparoscopic-assisted surgery has also 4 6,10,11 However, in studies on effect resection, there rarely been focus revising perioperative programs optimal mobilization, nutrition. A combination high-risk resulted 2 3 12 The potential for further improvement course, length stay, open not evaluated, except our preliminary findings 16 undergoing sigmoidectomy, where recovery median days were achieved. 13 After these initial hypothesis-generating findings, an accelerated was introduced as routine department gastroenterology from January 1, 1998. Here we report accumulated results first 60 consecutive patients.