Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery
Background: Accelerated recovery protocols in colorectal surgery have enhanced the perioperative cares optimizing recovery in this group of patients.A reduction in surgical stress and therefore early hospital discharge and lower morbidity is pursued, however, the literature offers few outcomes regar...
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| Autores principales: | , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26232 |
| Aporte de: |
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I10-R327-article-26232 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
accelerated recovery; laparoscopic; colon cancer, fastrack recuperación acelerada; laparoscópico; cáncer de colon, fastrack. recuperação acelerada; laparoscópica; câncer de cólon; fastrack. |
| spellingShingle |
accelerated recovery; laparoscopic; colon cancer, fastrack recuperación acelerada; laparoscópico; cáncer de colon, fastrack. recuperação acelerada; laparoscópica; câncer de cólon; fastrack. Reimondez, Santiago Signorini, Franco José Maldonado, Pablo Sergio Marani, Marcos Agustín Obeide, Lucio Ricardo Rossini, Alejandro Mario Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery |
| topic_facet |
accelerated recovery; laparoscopic; colon cancer, fastrack recuperación acelerada; laparoscópico; cáncer de colon, fastrack. recuperação acelerada; laparoscópica; câncer de cólon; fastrack. |
| author |
Reimondez, Santiago Signorini, Franco José Maldonado, Pablo Sergio Marani, Marcos Agustín Obeide, Lucio Ricardo Rossini, Alejandro Mario |
| author_facet |
Reimondez, Santiago Signorini, Franco José Maldonado, Pablo Sergio Marani, Marcos Agustín Obeide, Lucio Ricardo Rossini, Alejandro Mario |
| author_sort |
Reimondez, Santiago |
| title |
Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery |
| title_short |
Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery |
| title_full |
Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery |
| title_fullStr |
Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery |
| title_full_unstemmed |
Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery |
| title_sort |
accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: accelerated recovery in colorectal surgery |
| description |
Background: Accelerated recovery protocols in colorectal surgery have enhanced the perioperative cares optimizing recovery in this group of patients.A reduction in surgical stress and therefore early hospital discharge and lower morbidity is pursued, however, the literature offers few outcomes regarding its application in developing countries. Objective: to analyze short- and medium-term outcomes of the application of an accelerated recovery protocol in a terciary care hospital in Argentina. Methods: In the period between January 2015 and March 2017 patients were included prospectively and consecutively with indication of elective laparoscopic colorectal surgery and under strict follow-up according to the protocol created by the institution. Patients older than 80 years, ASA IV, emergency surgeries and conventional approach were excluded. We analyzed demographic data, diagnosis of surgery, type of intervention, hospital stay, complications, readmissions and reinterventions at 30 postoperative days. Results: Sixty-four patients with a mean age of 62 years were included. The mean hospitalization was 4.9 days, with 10.9% readmissions and 4.7% of reinterventions. We recorded 69% of the patients whit not complications at all and 5 major complications (8%) . Conclusion: Based on the adaptation of the international guidelines to our health reality, it is feasible to create an accelerated recovery protocol applicable in our country, with a low complication rate and early discharge. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26232 |
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I10-R327-article-262322024-08-27T18:26:57Z Accelerated recovery in elective laparoscopic colorectal surgery: two years of experience.: Accelerated Recovery in colorectal surgery Recuperación acelerada en cirugía colorrectal laparoscópica electiva: dos años de experiencia. : Recuperación acelerada en cirugía colorrectal Recuperação acelerada em cirurgia colorretal laparoscópica eletiva: dois anos de experiência.: Recuperação acelerada em cirurgia colorretal Reimondez, Santiago Signorini, Franco José Maldonado, Pablo Sergio Marani, Marcos Agustín Obeide, Lucio Ricardo Rossini, Alejandro Mario accelerated recovery; laparoscopic; colon cancer, fastrack recuperación acelerada; laparoscópico; cáncer de colon, fastrack. recuperação acelerada; laparoscópica; câncer de cólon; fastrack. Background: Accelerated recovery protocols in colorectal surgery have enhanced the perioperative cares optimizing recovery in this group of patients.A reduction in surgical stress and therefore early hospital discharge and lower morbidity is pursued, however, the literature offers few outcomes regarding its application in developing countries. Objective: to analyze short- and medium-term outcomes of the application of an accelerated recovery protocol in a terciary care hospital in Argentina. Methods: In the period between January 2015 and March 2017 patients were included prospectively and consecutively with indication of elective laparoscopic colorectal surgery and under strict follow-up according to the protocol created by the institution. Patients older than 80 years, ASA IV, emergency surgeries and conventional approach were excluded. We analyzed demographic data, diagnosis of surgery, type of intervention, hospital stay, complications, readmissions and reinterventions at 30 postoperative days. Results: Sixty-four patients with a mean age of 62 years were included. The mean hospitalization was 4.9 days, with 10.9% readmissions and 4.7% of reinterventions. We recorded 69% of the patients whit not complications at all and 5 major complications (8%) . Conclusion: Based on the adaptation of the international guidelines to our health reality, it is feasible to create an accelerated recovery protocol applicable in our country, with a low complication rate and early discharge. Introducción: El desarrollo de los protocolos de recuperación acelerada en cirugía colorrectal ha revalorizado los cuidados que conforman la recuperación perioperatoria de los pacientes sometidos a cirugía. Se persigue una reducción del stress quirúrgico y por tanto alta precoz y menor morbilidad, sin embargo, la literatura aporta pocos resultados respecto a su aplicación en países en desarrollo. Objetivo: analizar los resultados a corto y mediano plazo de un protocolo de recuperación acelerada en un hospital de alta complejidad de nuestro medio. En el periodo comprendido entre enero 2015 y marzo 2017 se incluyeron pacientes de manera prospectiva y consecutiva con indicación deAñadir colaborador/a cirugía colorrectal laparocopica electiva y bajo estricto seguimiento según protocolo creado por la institución. Fueron excluidos pacientes mayores de 80 años, ASA IV, cirugías de urgencia y abordaje convencional. Se analizaron datos demográficos indicación de cirugía, tipo de intervención, estadía hospitalaria en días, complicaciones, readmisiones y reintervenciones a los 30 días de postoperatorio. Resultados: Fueron incluidos 64 pacientes con una edad media de 62 años. El promedio de internación en días fue de 4,9, con 10,9% de reinternaciones y 4,7% de reintervenciones. El 69% de los pacientes no presento complicaciones, registrándose 5 complicaciones mayores (8%). Conclusión: A partir de la adecuación de los lineamientos internacionales a nuestra realidad sanitaria, es factible la creación de un protocolo de recuperación acelerada aplicable en nuestro medio, con baja tasa de complicaciones y alta precoz. Introdução: O desenvolvimento de protocolos de recuperação acelerada em cirurgia colorretal revalorizou os cuidados que compõem a recuperação perioperatória de pacientes submetidos à cirurgia. Busca-se uma redução no estresse cirúrgico e, portanto, alta morbidade precoce e menor, no entanto, a literatura fornece poucos resultados em relação à sua aplicação em países em desenvolvimento. Objetivo: analisar os resultados de curto e médio prazo de um protocolo de recuperação acelerada em um hospital de alta complexidade do nosso ambiente. No período de janeiro de 2015 a março de 2017, os pacientes foram incluídos de forma prospectiva e consecutiva, com indicação de cirurgia colorretal laparocópica eletiva e com acompanhamento rigoroso, de acordo com o protocolo criado pela instituição. Foram excluídos pacientes com idade superior a 80 anos, ASA IV, cirurgia de emergência e abordagem convencional. Os dados demográficos foram analisados indicando cirurgia, tipo de intervenção, internação hospitalar em dias, complicações, readmissões e reintervenções aos 30 dias de pós-operatório. Resultados: foram incluídos 64 pacientes com idade média de 62 anos. A internação média em dias foi de 4,9, com 10,9% dos reembolsos e 4,7% das reintervenções. 69% dos pacientes não apresentaram complicações, registrando 5 complicações maiores (8%). Conclusão: A partir da adaptação das diretrizes internacionais à nossa realidade em saúde, é possível criar um protocolo de recuperação acelerada aplicável em nosso ambiente, com baixo índice de complicações e alta precocidade. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-03-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/26232 10.31053/1853.0605.v77.n1.26232 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 1 (2020); 19-23 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 1 (2020); 19-23 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 1 (2020); 19-23 1853-0605 0014-6722 10.31053/1853.0605.v77.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/26232/29162 https://revistas.unc.edu.ar/index.php/med/article/view/26232/29342 Derechos de autor 2020 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |