short hospital stay after laparoscopic colorectal surgery without fast track短住院腹腔镜结直肠手术后快速通道.pdfVIP

Hindawi Publishing Corporation Minimally Invasive Surgery Volume 2012, Article ID 260273, 6 pages doi:10.1155/2012/260273 Research Article Short Hospital Stay after Laparoscopic Colorectal Surgery without Fast Track Stefan K. Burgdorf and Jacob Rosenberg Department of Surgical Gastroenterology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark Correspondence should be addressed to Stefan K. Burgdorf, stefan@stefanburgdorf.dk Received 28 August 2012; Accepted 18 October 2012 Academic Editor: Peng Hui Wang Copyright © 2012 S. K. Burgdorf and J. Rosenberg. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purpose. Short hospital stay and equal or reduced complication rates have been demonstrated after fast track open colonic surgery. However, fast track principles of perioperative care can be difficult to implement and often require increased nursing staff because of more concentrated nursing tasks during the shorter hospital stay. Specific data on nursing requirements after laparoscopic surgery are lacking. The purpose of the study was to evaluate the effect of operative technique (open versus laparoscopic operation), but without changing nurse staffing or principles for peri- or postoperative care, that is, without implementing fast track principles, on length of stay after colorectal resection for cancer. Methods. Records of all patients operated for colorectal cancer from November 2004 to December 2008 in our department were reviewed. No specific patients were selected for laparoscopic repair, which was solely dependent on the presence of two specific surgeons at the same t