["Fast track" colorectal surgery].
Many factors have effect on the enhanced recovery after colon surgery. Not only the technical skill but the perioperative events needed to be optimized by the pre- and postoperative issues. Articles were obtained with search for keywords in Medline electronic database and evidences have been ranked according to the recommendation of the Oxford Evidence-Based Medicine Centre. Multicentric, randomised studies have proved that preoperative bowel emptying could not decrease the number of anastomotic insufficiency and wound infection rate; the use of abdominal drains is not necessary in every case; the proper, early oral intake is safe and well tolerated in colo-rectal surgery, and with laparoscopic surgery the same results can be achieved as with open ones. The evidences found even are not used completely. The advantage of laparoscopic surgery can be improved with fast track methods. To use correctly the affecting factors it is essential to know the current literature.
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Semmelweis Egyetem, Altalános Orvostudományi Kar II, Sebészeti Klinika, Budapest, Kútvölgyi út 4. 1125.
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D000818:Animals; D003106:Colon / Q000601:surgery*; D003113:Colonoscopy; D003107:Colorectal Surgery / Q000379:methods / Q000639:trends*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D016099:Endoscopy, Gastrointestinal; D004750:Enteral Nutrition; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D010535:Laparoscopy; D019990:Perioperative Care; D010528:Peristalsis / Q000187:drug effects; D011182:Postoperative Care; D020250:Postoperative Nausea and Vomiting / Q000209:etiology / Q000517:prevention & control; D011300:Preoperative Care; D011351:Proctoscopy; D012007:Rectum / Q000601:surgery*; D013396:Suction
D005765:Gastrointestinal Agents