title: Fast track in colo-rectal surgery. Preliminary experience in a rural hospital.
abstract: BACKGROUND
  "Fast Track surgery" is a therapeutic program of large application, despite some doubts about its applicability and real validity. Literature review shows that this approach to colo-rectal surgery, particularly video-assisted, can allow a rapid recovery, better performance and a faster postoperative functional autonomy of the work, which can be discharged without cause additional welfare costs; in addition it can be reproducible in different health reality.
  
  
  OBJECTIVE
  To analyze the possibility to apply the Fast Truck protocol in patients undergoing colorectal surgery in a rural hospital and non specialistic Unit of Surgery.
  
  
  METHODS
  We have conducted a prospective, randomized study on 80 patients subjected to colorectal surgery in the last year.
  
  
  RESULTS
  The protocol was observed in 95% of cases, compliance with the Fast Track was high and general morbidity was limited (7.8%).
  
  
  CONCLUSIONS
  This "aggressive" approach, which has fundamentally altered the usual surgical behavior, seems to allow a mean length of stay significantly lower than in controls (p < 0.05) with positive implications for patients and containment of health care costs, even after discharge (no need for home care in 92% of cases, no early re-admittance to the hospital). Homogeneous protocols are desirable, as well as an increased enrollment, to consolidate these rehabilitation programs in order to provide a reference for all hospitals.
authors: D
authors: D
authors: Frontera
authors: L
authors: L
authors: Arena
authors: I
authors: I
authors: Corsale
authors: N
authors: N
authors: Francioli
authors: F
authors: F
authors: Mammoliti
authors: E
authors: E
authors: Buccianelli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006780:Hospitals, Rural; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012002:Rectal Diseases / Q000601:surgery*; D013997:Time Factors
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