BACKGROUND/AIMS: The purpose of this study was to evaluate whether implementation of a clinical pathway (CP) reduces length of stay after laparoscopic surgery for colorectal carcinoma. METHODOLOGY: We retrospectively reviewed 330 patients with colorectal carcinoma who underwent laparoscopic surgery between 2002 and 2006. The patients were divided into 2 groups: no clinical pathway patients in 2002-03 (Group A) and those managed with clinical pathway in 2004-06 (Group B). Patients in Group B were planned to be discharged and return home within postoperative day 8, with use of CP. RESULTS: There was no mortality in either group. In Group B, the rate of patients who started solid food within postoperative day 3 was significantly higher than in Group A for both colon carcinoma (96.7 vs. 82.8%, p = 0.001) and rectal carcinoma (94.2 vs. 65.5%, p = 0.001). The rate of patients discharged within postoperative day 8 was significantly higher in Group B than in Group A (98.5 vs. 64.8%, p = 0.001), although there were more advanced cases in Group B. CONCLUSIONS: The implementation of clinical pathway has led to the standardization of patient care and considerable decrease in length of stay after laparoscopic surgery for colorectal carcinoma.
BACKGROUND/AIMS: The purpose of this study was to evaluate whether implementation of a clinical pathway (CP) reduces length of stay after laparoscopic surgery for colorectal carcinoma. METHODOLOGY: We retrospectively reviewed 330 patients with colorectal carcinoma who underwent laparoscopic surgery between 2002 and 2006. The patients were divided into 2 groups: no clinical pathway patients in 2002-03 (Group A) and those managed with clinical pathway in 2004-06 (Group B). Patients in Group B were planned to be discharged and return home within postoperative day 8, with use of CP. RESULTS: There was no mortality in either group. In Group B, the rate of patients who started solid food within postoperative day 3 was significantly higher than in Group A for both colon carcinoma (96.7 vs. 82.8%, p = 0.001) and rectal carcinoma (94.2 vs. 65.5%, p = 0.001). The rate of patients discharged within postoperative day 8 was significantly higher in Group B than in Group A (98.5 vs. 64.8%, p = 0.001), although there were more advanced cases in Group B. CONCLUSIONS: The implementation of clinical pathway has led to the standardization of patient care and considerable decrease in length of stay after laparoscopic surgery for colorectal carcinoma.
Authors: Nicoleta O Kolozsvari; Giovanni Capretti; Pepa Kaneva; Amy Neville; Franco Carli; Sender Liberman; Patrick Charlebois; Barry Stein; Melina C Vassiliou; Gerald M Fried; Liane S Feldman Journal: Surg Endosc Date: 2012-07-19 Impact factor: 4.584
Authors: Jolanda C van Hoeve; Marloes A G Elferink; Joost M Klaase; Ewout A Kouwenhoven; Pieter Paul J B M Schiphorst; Sabine Siesling Journal: Int J Colorectal Dis Date: 2015-04-14 Impact factor: 2.571
Authors: Jolanda C van Hoeve; Robin W M Vernooij; Adegboyega K Lawal; Michelle Fiander; Peter Nieboer; Sabine Siesling; Thomas Rotter Journal: Syst Rev Date: 2018-03-27