Match!

„Fast-track-Kolonchirurgie“

Published on May 1, 2004
· DOI :10.1007/s00104-003-0785-5
W. Schwenk23
Estimated H-index: 23
(Humboldt University of Berlin),
W. Raue2
Estimated H-index: 2
(Humboldt University of Berlin)
+ 2 AuthorsJ. M. Müller27
Estimated H-index: 27
(Humboldt University of Berlin)
Source
Abstract
Einleitung Die Rate allgemeiner Komplikationen nach elektiven Kolonresektionen und „traditioneller“ perioperativer Therapie soll durch multimodale perioperative Behandlungskonzepte reduziert werden und eine Entlassung innerhalb weniger Tage nach der Operation ermoglichen.
  • References (14)
  • Citations (38)
📖 Papers frequently viewed together
20040.67Chirurg
5 Authors (W. Schwenk, ..., J. M. Müller)
44 Citations
1,116 Citations
295 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References14
Newest
#1J. RoseH-Index: 5
#2Claus SchneiderH-Index: 21
Last. Ferdinand KöckerlingH-Index: 37
view all 8 authors...
34 CitationsSource
#1Henrik KehletH-Index: 107
#2Douglas W. Wilmore (Brigham and Women's Hospital)H-Index: 73
1,116 CitationsSource
#1Frank Marusch (Otto-von-Guericke University Magdeburg)H-Index: 21
#2Andreas Koch (Otto-von-Guericke University Magdeburg)H-Index: 16
Last. Hans Lippert (Otto-von-Guericke University Magdeburg)H-Index: 44
view all 10 authors...
INTRODUCTION: Currently, only a small percentage of the diagnostic and therapeutic data on colonic carcinomas has been confirmed by data obtained in randomized controlled studies. For this reason, the results of prospective multicentre observational studies are extremely important. METHOD: Within a multicentre observational study involving 75 surgical departments carried out between 01.01. and 31.12.1999, 3,756 patients with a colorectal carcinoma (2,293 carcinoma of the colon; 1,463 carcinomas ...
51 CitationsSource
#1Linda Basse (UCPH: University of Copenhagen)H-Index: 11
#2Per Billesbølle (UCPH: University of Copenhagen)H-Index: 7
Last. Henrik Kehlet (UCPH: University of Copenhagen)H-Index: 107
view all 3 authors...
PURPOSE: Abdominal rectopexy without sigmoid resection is usually associated with a hospital stay of four to ten days. Recent developments have shown that a multimodal rehabilitation program with epidural analgesia and early oral feeding and mobilization will reduce hospital stay after colonic resection. The aim of this study was to describe the results after abdominal rectopexy with a multimodal rehabilitation program. METHODS: Thirty-one consecutive patients with rectal prolapse, median age 69...
39 CitationsSource
#1Ludger Staib (University of Ulm)H-Index: 21
#2Karl H. Link (University of Ulm)H-Index: 20
Last. Hans G. Beger (University of Ulm)H-Index: 77
view all 4 authors...
Determiner la morbidite et les resultats a long terme de la chirurgie colorectale pour cancer dans un programme de «controle qualite» en tant que base de nouvelle modalite therapeutique. Les patients traites chirurgicalement pour cancer (âge moyen 65 ans) ont ete suivis de facon prospective dans un centre universitaire (suivi moyen de 110 mois, 1978-1999). On a analyse la survie globale (SG), la radicalite et l'etendu de la resection, la recidive et la morbidite (test log-rank pour la survie, an...
104 CitationsSource
#1Conor P. Delaney (Cleveland Clinic)H-Index: 62
#2Victor W. Fazio Mb (Cleveland Clinic)H-Index: 98
Last. Feza H. Remzi (Cleveland Clinic)H-Index: 63
view all 6 authors...
Background: A combination of factors has emphasized the need to reduce postoperative stay after surgery. Multimodal care plans may shorten hospital stay, but have been associated with high readmission rates and are generally reserved for straightforward, non-complicated colonic (not rectal) resections. This study evaluated a ‘fast track’ protocol in patients undergoing major colonic and rectal surgery. Methods: Sixty consecutive patients (median age 44·5 (range 13–70) years) underwent major proc...
302 CitationsSource
#1Frank Marusch (Otto-von-Guericke University Magdeburg)H-Index: 21
#2Andreas Koch (Otto-von-Guericke University Magdeburg)H-Index: 16
Last. Hans Lippert (Otto-von-Guericke University Magdeburg)H-Index: 44
view all 11 authors...
This prospective multicenter study investigated the effect of hospital caseload on early postoperative outcome of surgery for carcinoma of the colon in 75 German hospitals and included 2293 patients. The hospitals were divided into those with a caseload of 1–30 (group A), 31–60 (group B), and more than 60 (group C) operations. Increasing caseload was associated only with fewer general postoperative complications. It was also associated with significantly greater use of antibiotic prophylaxis. No...
46 CitationsSource
Background The influence of experience on the results of treatment with laparoscopic surgery is indisputable. The establishment of indications and contraindications is relative, and varies depending on the experience of the surgeon. Learning curves have been described for a number of laparoscopic interventions, in particular laparoscopic cholecystectomy. The current prospective multicenter study investigates, among other things, the interrelation between experience and the results of treatment u...
123 CitationsSource
#1Linda BardramH-Index: 24
#2Peter Funch-JensenH-Index: 33
Last. Henrik KehletH-Index: 107
view all 3 authors...
Background Introduction of the laparoscopic surgical technique has reduced hospital stay after colonic resection from about 8–10 to 4–6 days. In most studies, however, specific attention has not been paid to changes in perioperative protocols required to maximize the advantages of the minimally invasive procedure. In the present study the laparoscopic approach was combined with a perioperative multimodal rehabilitation protocol. Methods After laparoscopically assisted colonic resection, patients...
155 CitationsSource
#1Linda BasseH-Index: 11
Last. Henrik KehletH-Index: 107
view all 5 authors...
The postoperative hospital stay after colonic resection is usually 6 to 12 days, 1–6 with a complication rate of 10% to 20%, because many patients are elderly and at high risk. The recent introduction of multimodal postoperative rehabilitation regimens including epidural analgesia, early enteral nutrition, and early mobilization and revision of the surgical care program have reduced the hospital stay to approximately 5 days. 7–9 The introduction of laparoscopic-assisted colonic surgery has also ...
624 CitationsSource
Cited By38
Newest
Die Beschaftigung mit Ernahrung hat in den letzten Jahren einen neuen Stellenwert in der klinischen Medizin erhalten. Durch Konzepte der Fast-track-Chirurgie und des ERAS wird mehr auf einen adaquaten Ernahrungszustand geachtet. Die postoperative Ernahrung benotigt im klinischen Alltag ein standardisiertes Konzept, wie in einzelnen Phasen oder bei verschiedenen Zustanden vorgegangen werden kann und muss. Dabei ist es wichtig, dass man Patienten schon mit einer Prehabilitation an die Rehabilitati...
Source
4 CitationsSource
#1Giada Pozzi (UNITO: University of Turin)H-Index: 5
#2Alessandro Falcone (UNITO: University of Turin)H-Index: 7
Last. Mario Nano (UNITO: University of Turin)H-Index: 11
view all 5 authors...
Fast track surgery is a peri-operative management model, including different strategies to improve patients’ convalescence, avoid metabolic alterations, reduce complications, and shorten hospital stay. Prerequisite is coordination between different practitioners (surgeon, anaesthetist, nurse, nutritionist, physiotherapist). The purpose of our investigation is to understand the level of fast track surgery application in Piedmont and to evidence analogies and differences among departments. We proj...
2 CitationsSource
Der Begriff „Fast-Track-Rehabilitation“ bezeichnet die Kombination verschiedener perioperativer evidenzbasierter Masnahmen zu einem interdisziplinaren perioperativen Behandlungspfad. Das primare Ziel der Fast-Track-Rehabilitation ist es, die Organfunktionen nach einem operativen Eingriff zu optimieren und so allgemeine postoperative Komplikationen zu vermeiden. Gleichzeitig fuhren diese Masnahmen zu einer rascheren Rekonvaleszenz der Patienten, sodass diese wesentlich fruher als unter traditione...
5 CitationsSource
Postoperative Wundinfektionen minimieren grundsatzlich den Erfolg eines operativen Eingriffs. In Deutschland werden jahrlich rund 5 Millionen operative Eingriffe in Krankenhausern und ambulanten Einrichtungen durchgefuhrt. Nach Angaben des Krankenhaus-Infektions-Surveillance-System (KISS), in dem 301 operative Abteilungen aus 163 Krankenhausern angeschlossen sind, traten im Zeitraum von Januar 1997 bis Dezember 2004 bei 360.000 Operationen mehr als 6800 postoperative Wundinfektionen auf.
Source
Background Whether laparoscopic colorectal resection improved recovery within an enhanced recovery program was investigated.
26 CitationsSource
Background: The present developments in colon surgery are characterized by two innovations: the introduction of the laparoscopic operation technique and fast recovery programs such as the Enhanced Recovery After Surgery (ERAS) recovery program. The Tapas-study was conceived to determine which of the three treatment programs: open conventional surgery, open 'ERAS' surgery or laparoscopic 'ERAS' surgery for patients with colon carcinomas is most cost minimizing? Method/design: The Tapas-study is a...
19 CitationsSource
#1T. Hasenberg (Heidelberg University)H-Index: 11
#2Friedrich Längle (University of Vienna)H-Index: 18
Last. E. Shang (Heidelberg University)H-Index: 11
view all 8 authors...
Objective ‘Fast-track’ rehabilitation is able to accelerate recovery, reduce general morbidity, and decrease hospital stay. This is widely accepted for colonic resections. Despite recent evidence that fast track concepts are safe and feasible in rectal resection, there is no information on the acceptance and utilization of these concepts among Austrian and German surgeons.
18 CitationsSource
#1Marco ScatizziH-Index: 16
#2Katrin C. KröningH-Index: 5
Last. Francesco FerociH-Index: 13
view all 5 authors...
Background The aim of the “fast-track surgery” program is to decrease the peri-operative stress response to surgical trauma and thus to a decrease in complication rates after elective surgery. Critics of fast-track (FT) rehabilitation may argue that all reports of successful programs came from major specialized hospital units and that implementation in smaller or less specialized units may be difficult if not impossible. Methods We retrospectively studied 101 patients who, from November 2004 to ...
30 CitationsSource