Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032

 

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

Abstract

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

Ethics committee approval was received for this study from the ethics committee of Vakif Gureba Training and Research Hospital.

Peer Review

Externally peer-reviewed.

Author Contributions

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.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.