BACKGROUND: We present the results of combining protocols of standardized laparoscopic rectal resection (LRR) and perioperative fast track care. METHODS: Patients undergoing LRRs were identified from a prospectively maintained, institutional review board-approved database. Perioperative fast track care and laparoscopic operations were performed according to a standardized system. RESULTS: Thirty-seven patients were included. Conversion was performed in 2 males (5%). The mean operative time was 184 minutes (range 109 to 410 minutes). The mean hospital stay was 3.0 days (range 1 to 8 days) with 90% of patients discharged less than 5 days after surgery. No anastomotic leaks or mortality occurred and the in-hospital complications rate was 8%. Readmission occurred in 3 patients (8%). No specimen had involved distal or circumferential resection margins. CONCLUSIONS: LRRs can be performed safely and effectively for rectal pathologies. Laparoscopy in conjunction with modern perioperative care provides rapid recovery with efficient use of hospital resources.
BACKGROUND: We present the results of combining protocols of standardized laparoscopic rectal resection (LRR) and perioperative fast track care. METHODS:Patients undergoing LRRs were identified from a prospectively maintained, institutional review board-approved database. Perioperative fast track care and laparoscopic operations were performed according to a standardized system. RESULTS: Thirty-seven patients were included. Conversion was performed in 2 males (5%). The mean operative time was 184 minutes (range 109 to 410 minutes). The mean hospital stay was 3.0 days (range 1 to 8 days) with 90% of patients discharged less than 5 days after surgery. No anastomotic leaks or mortality occurred and the in-hospital complications rate was 8%. Readmission occurred in 3 patients (8%). No specimen had involved distal or circumferential resection margins. CONCLUSIONS: LRRs can be performed safely and effectively for rectal pathologies. Laparoscopy in conjunction with modern perioperative care provides rapid recovery with efficient use of hospital resources.
Authors: Till Hasenberg; Friedrich Längle; Bianca Reibenwein; Karin Schindler; Stefan Post; Claudia Spies; Wolfgang Schwenk; Edward Shang Journal: Int J Colorectal Dis Date: 2010-02-20 Impact factor: 2.571
Authors: Thomas D Martin; Talya Lorenz; Jane Ferraro; Kevin Chagin; Richard M Lampman; Karen L Emery; Joan E Zurkan; Jami L Boyd; Karin Montgomery; Rachel E Lang; James F Vandewarker; Robert K Cleary Journal: Surg Endosc Date: 2015-12-22 Impact factor: 4.584