title: [Systemic review of fast-track surgery in patients undergoing laparoscopic colorectal resection].
abstract: OBJECTIVE
  To evaluate the efficacy and safety of fast track surgery(FTS) in patients undergoing laparoscopic colorectal resection.
  
  
  METHODS
  Randomized controlled trials(RCT) or clinical controlled trials(CCT) on fast-track surgery in patients undergoing laparoscopic colorectal resection were obtained from databases including CNKI, Wanfang, PubMed, EMBACE, and Cochrane Library between January 2000 and March 2012. Meta-analysis was performed with RevMan 5.1.
  
  
  RESULTS
  There were 6 RCTs and 7 CCTs including 1795 patients. There were 955 patients in the FTS group and 840 in the control group. The time to passage of flatus was shorter(WMD=-1.37, 95%CI:-1.55~-1.19, P<0.05), time to resumption of diet/drink was shorter(WMD=-2.62, 95%CI:-2.69~-2.55, P<0.05), length of postoperative hospital stay was decreased(WMD=-1.63, 95%CI:-1.92~-1.34, P<0.05) and the incidence of postoperative complications were less(OR=0.52, 95%CI:0.41~0.67, P<0.05) in the FTS group. However, there were no differences in readmission(P>0.05).
  
  
  CONCLUSIONS
  Fast-track surgery in patients undergoing laparoscopic colorectal resection can promote bowel function recovery, decrease the incidence of postoperative complications and length of hospital stay.
authors.affiliation: Department of Gastrointestinal Surgery, Xinjiang Medical University, Urumqi, China.
authors.forename: Kai-cai
authors.initials: KC
authors.lastname: Song
authors.forename: Yun-hai
authors.initials: YH
authors.lastname: Wang
authors.forename: Tao
authors.initials: T
authors.lastname: Li
authors.forename: Wen-bin
authors.initials: WB
authors.lastname: Zhang
authors.forename: Xin-cai
authors.initials: XC
authors.lastname: Xu
mesh_terms: D006801:Humans; D018849:Controlled Clinical Trials as Topic; D013505:Digestive System Surgical Procedures; D015994:Incidence; D010535:Laparoscopy; D007902:Length of Stay; D011183:Postoperative Complications