Erschienen in:
01.03.2009 | Editorial
Laparoscopy or fast-track surgery, or both?
verfasst von:
K. Slim, A. Fingerhut
Erschienen in:
Surgical Endoscopy
|
Ausgabe 3/2009
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Excerpt
There is no doubt that the laparoscopic revolution could be considered one of the major improvements for the management of colorectal diseases. Since its introduction in the 1990s, several meta-analyses have clearly demonstrated its feasibility and efficacy [
1,
2]. It is becoming the new “gold standard” for the care of colonic diseases with a high level of evidence [
3] because of its mini-invasiveness and better postoperative comfort for surgical patients. At the same time, another improvement in colorectal surgery, initiated by Kehlet and coworkers, the so-called enhanced recovery protocol or the fast-track surgery (FTS) approach [
4,
5], initially less recognized, has gradually gained worldwide acceptance [
6]. This new paradigm, a parallel revolution in the care of surgical patients (based on a multimodal approach of patients), was initiated in the field of
open surgery. However, the evidence-based literature shows with a high level of evidence that FTS is feasible, safe, and offers a better postoperative recovery compared with traditional care [
5], even for laparoscopic surgery. …
