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01-07-2007

Fast Track—Different Implications in Pancreatic Surgery

Authors: P. O. Berberat, H. Ingold, A. Gulbinas, J. Kleeff, M. W. Müller, C. Gutt, M. Weigand, H. Friess, M. W. Büchler

Published in: Journal of Gastrointestinal Surgery | Issue 7/2007

Abstract

Concepts in “fast-track” surgery, which provide optimal perioperative care, have been proven to significantly reduce complication rates and decrease hospital stay. This study explores whether fast-track concepts can also be safely applied and improve the outcomes of major pancreatic resections. Perioperative data from 255 consecutive patients, who underwent pancreatic resection by means of fast-track surgery in a high-volume medical center, were analyzed using univariate and multivariate models. Of the 255 patients, 180 received a pancreatic head resection and 51 received distal, 15 received total, and 9 received segmental pancreatectomies. The patients were discharged on median day 10 with a 30-day readmission rate of 3.5%. The in-hospital mortality was 2%, whereas medical and surgical morbidities were 17 and 25%, respectively. Fast-track parameters, such as first stools, normal food, complete mobilization, and return to normal ward, correlated significantly with early discharge (p < 0.05). Patients’ age, operation time, and early extubation proved to be independent factors of early discharge, shown through multivariate analysis (odds ratio: 4.0, 2.0, and 2.8, respectively; p < 0.05). Low readmission, mortality, and morbidity rates demonstrate that fast-track surgery is in fact feasible and safe and promotes earlier discharge without compromising patient outcomes.

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Title: Fast Track—Different Implications in Pancreatic Surgery
Authors: P. O. Berberat
H. Ingold
A. Gulbinas
J. Kleeff
M. W. Müller
C. Gutt
M. Weigand
H. Friess
M. W. Büchler
Publication date: 01-07-2007
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 7/2007
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-007-0167-2

At a glance: The STEP trials

Springer Medicine

Fast Track—Different Implications in Pancreatic Surgery

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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