The Fast-Track Programmes of Multi-Disciplinary Treatment in Colorectal Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Zhan , WANG Xiaodong , LI Li

Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Colorectal surgery; Multi-disciplinary treatment; Fast-track programme

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Objective　 To explore the concept, contents and existing problems of the fast-track programmes in colorectal surgery.
Methods 　The literatures about the applied status and opinion of the modality applied in the surgical treatment of the colorectal cancer and fundament investigation in recent years were collected and reviewed.
Results 　The fast-track programmes enhance recovery of the patients who underwent the colorectal resection with the combination of multimodal techniques and approaches.
Conclusion 　The fast-track programmes in colorectal surgery is the typical modality of the multi-disciplinary treatment, this modality can decrease the complications and reduce the hospital stay with preserve the well physiological fundament of the patients.

Citation： LIU Zhan,WANG Xiaodong,LI Li. The Fast-Track Programmes of Multi-Disciplinary Treatment in Colorectal Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(2): 239-242. doi: Copy

1.	Wilmore DW, Kehlet H. Management of patients in fast track surgery [J]. BMJ， 2001; 322(7284)∶473.
2.	Warner MA, Shields SE, Chute CG. Major morbidity and mortality within 1 month of ambulatory surgery and anaesthesia [J]. JAMA， 1993; 270(12)∶1437.
3.	Mezei G, Chung F. Return hospital visits and hospital readmissions after ambulatory surgery [J]. Ann Surg， 1999; 230(5)∶721.
4.	Mattei P, Rombeau JL. Review of the pathophysiology and management of postoperative ileus [J]. World J Surg， 2006; 30(8)∶1382.
5.	Basse L, Thorbol JE, Lossl K, et al. Colonic surgery with accelerated rehabilitation or conventional care [J]. Dis Colon Rectum， 2004; 47(3)∶271.
6.	Chohan DP, Goodwin K, Wilkinson S, et al. How has the ‘two-week wait’ rule affected the presentation of colorectal cancer? [J]. Colorectal Dis， 2005; 7(5)∶450.
7.	Andersen J, Kehlet H. Fast track open ileo-colic resections for Crohn’s disease [J]. Colorectal Dis， 2005; 7(4)∶394.
8.	Wind J, Polle SW, Fung Kon Jin PH, et al. Systematic review of enhanced recovery programmes in colonic surgery [J]. Br J Surg， 2006; 93(7)∶800.
9.	Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection [J]. Clin Nutr， 2005; 24(3)∶466.
10.	Basse L, Hjort Jakobsen D, Billesbolle P, et al. A clinical pathway to accelerate recovery after colonic resection [J]. Ann Surg， 2000; 232(1)∶51.
11.	Basse L, Jakobsen DH, Billesbolle P, et al. Accelerated rehabilitation after colon resection [J]. Ugeskr Laeger， 2001; 163(7)∶913.
12.	Basse L, Raskov HH, Hjort Jakobsen D, et al. Accelerated postoperative recovery programme after colonic resection improves physical performance, pulmonary function and body composition [J]. Br J Surg， 2002; 89(4)∶446.
13.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome [J]. Am J Surg， 2002; 183(6)∶630.
14.	Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery [J]. Lancet， 2003; 362(9399)∶1921.
15.	Hjort Jakobsen D, Sonne E, Basse L, et al. Convalescence after colonic resection with fast-track versus conventional care [J]. Scand J Surg， 2004; 93(1)∶24.
16.	Bokey EL, Chapuis PH, Fung C, et al. Postoperative morbidity and mortality following resection of the colon and rectum for cancer [J]. Dis Colon Rectum， 1995; 38(5)∶480.
17.	Retchin SM, Penberthy L, Desch C, et al. Perioperative management of colon cancer under Medicare risk programs [J]. Arch Intern Med， 1997; 157(16)∶1878.
18.	Colorectal Cancer Collaborative Group. Surgery for colorectal cancer in elderly patients: a systematic review. [J]. Lancet， 2000; 356(9234)∶968.
19.	Arenal JJ, Benito C, Concejo MP, et al. Colorectal resection and primary anastomosis in patients aged 70 and older: prospective study [J]. Eur J Surg， 1999; 165(6)∶593.
20.	Delaney CP. Clinical perspective on postoperative ileus and the effect of opiates [J]. Neurogastroenterol Motil， 2004; 16 Suppl 2∶61.
21.	Kehlet H. Modification of responses to surgery by neural blockade:clinical implications [A]. In: Cousins MJ, Bridenbaugh PO eds. Neural blockade in clinical anaesthesia and management of pain [M]. Philadelphia: JB Lippincott, 1998∶129-75.
22.	Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials [J]. BMJ， 2000; 321(7275)∶1493.
23.	Miedema BW, Johnson JO. Methods for decreasing postoperative gut dysmotility [J]. Lancet Oncol， 2003; 4(6)∶365.
24.	Schuster TG, Montie JE. Postoperative ileus after abdominal surgery [J]. Urology， 2002; 59(4)∶465.
25.	Kehlet H. Surgical stress response: does endoscopic surgery confer an advantage? [J]. World J Surg， 1999; 23(8)∶801.
26.	Shea JA, Berlin JA, Bachwich DR, et al. Indications for and outcomes of cholecystectomy: a comparison of the pre and postlaparoscopic eras [J]. Ann Surg， 1998; 227(3)∶343.
27.	Basse L, Jakobsen DH, Bardram L, et al. Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study [J]. Ann Surg， 2005; 241(3)∶416.
28.	Livingston EH, Passaro EP Jr. Postoperative ileus [J]. Dig Dis Sci， 1990; 35(1)∶121.
29.	Luckey A, Livingston E, Tache Y. Mechanisms and treatment of postoperative ileus [J]. Arch Surg， 2003; 138(2)∶206.
30.	Holte K, Kehlet H. Postoperative ileus: progress towards effective management [J]. Drugs， 2002; 62(18)∶2603.
31.	Kehlet H, Buchler MW, Beart RW Jr, et al. Care after colonic operation：is it evidence-based? Results from a multinational survey in Europe and the United States [J]. J Am Coll Surg， 2006; 202(1)∶45.
32.	Asao T, Kuwano H, Nakamura J, et al. Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy [J]. J Am Coll Surg， 2002; 195(1)∶30.
33.	Cheatham ML, Chapman WC, Key SP, et al. A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy [J]. Ann Surg， 1995; 221(5)∶469.
34.	Sessler DI. Mild perioperative hypothermia [J]. N Engl J Med， 1997; 336(24)∶1730.
35.	Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial [J]. Lancet， 2002; 359(9320)∶1812.
36.	刘展，汪晓东，李立. 在结直肠癌领域引入多学科协作管理模式的现状 [J]. 中国普外基础与临床杂志， 2007； 14（1）∶114.
37.	Gatt M, Anderson AD, Reddy BS, et al. Randomized clinical trial of multimodal optimization of surgical care in patients undergoing major colonic resection [J]. Br J Surg， 2005; 92(11)∶1354.
38.	Delaney CP, Zutshi M, Senagore AJ, et al. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection [J]. Dis Colon Rectum， 2003; 46(7)∶851.
39.	Anderson AD, McNaught CE, MacFie J, et al. Randomized clinical trial of multimodal optimization and standard perioperative surgical care [J]. Br J Surg， 2003; 90(12)∶1497.
40.	Basse L, Raskov HH, Hjort Jakobsen D, et al. Accelerated postoperative recovery programme after colonic resection improves physical performance, pulmonary function and body composition [J]. Br J Surg， 2002; 89(4)∶446.

1. 　Wilmore DW, Kehlet H. Management of patients in fast track surgery [J]. BMJ， 2001; 322(7284)∶473.
2. 　Warner MA, Shields SE, Chute CG. Major morbidity and mortality within 1 month of ambulatory surgery and anaesthesia [J]. JAMA， 1993; 270(12)∶1437.
3. 　Mezei G, Chung F. Return hospital visits and hospital readmissions after ambulatory surgery [J]. Ann Surg， 1999; 230(5)∶721.
4. 　Mattei P, Rombeau JL. Review of the pathophysiology and management of postoperative ileus [J]. World J Surg， 2006; 30(8)∶1382.
5. 　Basse L, Thorbol JE, Lossl K, et al. Colonic surgery with accelerated rehabilitation or conventional care [J]. Dis Colon Rectum， 2004; 47(3)∶271.
6. 　Chohan DP, Goodwin K, Wilkinson S, et al. How has the ‘two-week wait’ rule affected the presentation of colorectal cancer? [J]. Colorectal Dis， 2005; 7(5)∶450.
7. 　Andersen J, Kehlet H. Fast track open ileo-colic resections for Crohn’s disease [J]. Colorectal Dis， 2005; 7(4)∶394.
8. 　Wind J, Polle SW, Fung Kon Jin PH, et al. Systematic review of enhanced recovery programmes in colonic surgery [J]. Br J Surg， 2006; 93(7)∶800.
9. 　Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection [J]. Clin Nutr， 2005; 24(3)∶466.
10. 　Basse L, Hjort Jakobsen D, Billesbolle P, et al. A clinical pathway to accelerate recovery after colonic resection [J]. Ann Surg， 2000; 232(1)∶51.
11. 　Basse L, Jakobsen DH, Billesbolle P, et al. Accelerated rehabilitation after colon resection [J]. Ugeskr Laeger， 2001; 163(7)∶913.
12. 　Basse L, Raskov HH, Hjort Jakobsen D, et al. Accelerated postoperative recovery programme after colonic resection improves physical performance, pulmonary function and body composition [J]. Br J Surg， 2002; 89(4)∶446.
13. 　Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome [J]. Am J Surg， 2002; 183(6)∶630.
14. 　Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery [J]. Lancet， 2003; 362(9399)∶1921.
15. 　Hjort Jakobsen D, Sonne E, Basse L, et al. Convalescence after colonic resection with fast-track versus conventional care [J]. Scand J Surg， 2004; 93(1)∶24.
16. 　Bokey EL, Chapuis PH, Fung C, et al. Postoperative morbidity and mortality following resection of the colon and rectum for cancer [J]. Dis Colon Rectum， 1995; 38(5)∶480.
17. 　Retchin SM, Penberthy L, Desch C, et al. Perioperative management of colon cancer under Medicare risk programs [J]. Arch Intern Med， 1997; 157(16)∶1878.
18. 　Colorectal Cancer Collaborative Group. Surgery for colorectal cancer in elderly patients: a systematic review. [J]. Lancet， 2000; 356(9234)∶968.
19. 　Arenal JJ, Benito C, Concejo MP, et al. Colorectal resection and primary anastomosis in patients aged 70 and older: prospective study [J]. Eur J Surg， 1999; 165(6)∶593.
20. 　Delaney CP. Clinical perspective on postoperative ileus and the effect of opiates [J]. Neurogastroenterol Motil， 2004; 16 Suppl 2∶61.
21. 　Kehlet H. Modification of responses to surgery by neural blockade:clinical implications [A]. In: Cousins MJ, Bridenbaugh PO eds. Neural blockade in clinical anaesthesia and management of pain [M]. Philadelphia: JB Lippincott, 1998∶129-75.
22. 　Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials [J]. BMJ， 2000; 321(7275)∶1493.
23. 　Miedema BW, Johnson JO. Methods for decreasing postoperative gut dysmotility [J]. Lancet Oncol， 2003; 4(6)∶365.
24. 　Schuster TG, Montie JE. Postoperative ileus after abdominal surgery [J]. Urology， 2002; 59(4)∶465.
25. 　Kehlet H. Surgical stress response: does endoscopic surgery confer an advantage? [J]. World J Surg， 1999; 23(8)∶801.
26. 　Shea JA, Berlin JA, Bachwich DR, et al. Indications for and outcomes of cholecystectomy: a comparison of the pre and postlaparoscopic eras [J]. Ann Surg， 1998; 227(3)∶343.
27. 　Basse L, Jakobsen DH, Bardram L, et al. Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study [J]. Ann Surg， 2005; 241(3)∶416.
28. 　Livingston EH, Passaro EP Jr. Postoperative ileus [J]. Dig Dis Sci， 1990; 35(1)∶121.
29. 　Luckey A, Livingston E, Tache Y. Mechanisms and treatment of postoperative ileus [J]. Arch Surg， 2003; 138(2)∶206.
30. 　Holte K, Kehlet H. Postoperative ileus: progress towards effective management [J]. Drugs， 2002; 62(18)∶2603.
31. 　Kehlet H, Buchler MW, Beart RW Jr, et al. Care after colonic operation：is it evidence-based? Results from a multinational survey in Europe and the United States [J]. J Am Coll Surg， 2006; 202(1)∶45.
32. 　Asao T, Kuwano H, Nakamura J, et al. Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy [J]. J Am Coll Surg， 2002; 195(1)∶30.
33. 　Cheatham ML, Chapman WC, Key SP, et al. A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy [J]. Ann Surg， 1995; 221(5)∶469.
34. 　Sessler DI. Mild perioperative hypothermia [J]. N Engl J Med， 1997; 336(24)∶1730.
35. 　Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial [J]. Lancet， 2002; 359(9320)∶1812.
36. 　刘展，汪晓东，李立. 在结直肠癌领域引入多学科协作管理模式的现状 [J]. 中国普外基础与临床杂志， 2007； 14（1）∶114.
37. 　Gatt M, Anderson AD, Reddy BS, et al. Randomized clinical trial of multimodal optimization of surgical care in patients undergoing major colonic resection [J]. Br J Surg， 2005; 92(11)∶1354.
38. 　Delaney CP, Zutshi M, Senagore AJ, et al. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection [J]. Dis Colon Rectum， 2003; 46(7)∶851.
39. 　Anderson AD, McNaught CE, MacFie J, et al. Randomized clinical trial of multimodal optimization and standard perioperative surgical care [J]. Br J Surg， 2003; 90(12)∶1497.
40. 　Basse L, Raskov HH, Hjort Jakobsen D, et al. Accelerated postoperative recovery programme after colonic resection improves physical performance, pulmonary function and body composition [J]. Br J Surg， 2002; 89(4)∶446.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Fast-Track Programmes of Multi-Disciplinary Treatment in Colorectal Surgery

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