Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study.

摘要: Open colonic resection is usually associated with a hospital stay of about 6 to 11 days and complication rate 15% 20%.1–6 Introduction laparoscopic-assisted has reduced the 4 8 days, same or slightly lower morbidity in randomized trials.1–6 Concomitant these technical developments, an increased body evidence been developed demonstrate that perioperative care regimens, including optimized pain relief, early oral feeding, mobilization, have profound effects improve postoperative recovery outcome.7,8 These so-called multimodal rehabilitation programs fast-track surgery7,8 applied after laparoscopic9,10 open11 resection, resulting 2 3 days. Unfortunately, assessment laparoscopic versus open on outcome studies1–6 not included revision principles adjusted recent scientific data,7,8 therefore difference between remains be determined. Such studies require regimen observer-blinded minimize treatment bias due expected benefits minimal invasive surgery other new surgical techniques.12 The aim this study was assess functional where both groups received program observer patient-blinded design, planned discharge 48 hours.