Fast-track versus conventional protocol in colon cancer surgery
Bahri Yılmaz1, Arda Işık2, Deniz Fırat2, Oğuz İdiz3, Coşkun Çakır3, Adem Akcakaya3
1Clinic of General Surgery, Atatürk State Hospital, Düzce, Turkey
2Department of General Surgery, Erzincan University Faculty of Medicine, Erzincan, Turkey
3Department of General Surgery, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey
Keywords: Colon cancer, conventional protocol, fast-track protocol
Objective: The fast-track surgery (FTS) protocol is focused on achieving a faster recovery and decreasing morbidity with the use of anesthesia, analgesia, decreased surgical stress, fluid treatment, minimally invasive surgery, nutrition, and mobilization.
Material and Methods: This study was conducted in the General Surgery Department at Vakif Gureba Training and Research Hospital. Ninety-one operated colon cancer patients who underwent surgery between January 2005 and December 2010 were enrolled in the study. They patients were divided into two groups, the Conventional group (Group 1: 20 males, 15 females) and Fast-Track Surgery group (Group 2: 37 males, 19 females).
Results: The morbidity rate in Group 1 was 51.4% and was 25% in Group 2 (p=0.01). The mortality rate for Groups 1 and 2 were 22.9% and 3.6%, respectively (p=0.004). The mean length of stay in the hospital was 15.6±14.4 days for Group 1 and 8.4±7.1 days for Group 2.
Conclusion: The FTS protocol was researched previously by several studies, but the existence of all three parameters (morbidity, mortality, and length of stay in the hospital) in one study is rarely found. The use of the FTS protocol for patients with colon cancer can decrease the morbidity, mortality, and length of stay in the hospital.
Ethics committee approval was received for this study from the ethics committee of Vakif Gureba Training and Research Hospital.
Written informed consent was obtained from patients who participated in this study.
Concept - B.Y., A.A.; Design - B.Y., A.I., O.İ.; Supervision - B.Y., A.I., D.F., A.A.; Funding - B.Y., A.A.; Materials - B.Y., A.I.; Data Collection and/or Processing - B.Y., D.F., O.İ., C.Ç., A.A.; Analysis and/or Interpretation - B.Y., A.I., D.F.; Literature Review - B.Y., A.I., A.A.; Writer - B.Y., A.I., D.F., A.A.; Critical Review - B.Y., A.I., D.F., A.A.; Other - O.İ., C.Ç.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.