“Fast-Track” Colo-Rectal Surgery

Abstract

Many factors have an effect on the enhanced recovery after colon surgery. Not only the technical skill but the perioperative events needed to be optimized by the pre- and postoperative issues. Articles were obtained with search for keywords in Medline electronic database and evidences have been ranked according to the recommendations of the Oxford Evidence Based Medicine Centre. Multicentric, randomized studies have proved that the preoperative bowel emptying could not decrease the number of anastomotic insufficiencies and wound infection rate; the use of abdominal drains are not necessary in every case; the proper, early oral intake is safe and well tolerated in colo-rectal surgery, and with laparoscopic surgery the same results can be achieved as with the open one. Even nowadays the evidences found are not taken into account completely. The advantage of laparoscopic surgery can be improved with fast-track methods. To use correctly the affecting factors it is essential to know the current literature.