• J Hammer, H Harling, and P Wille-Jørgensen.
• Department of Surgery K, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
• Colorectal Dis. 2008 Jul 1;10(6):593-8.

ObjectiveTo report the implementation and results of fast-track surgery for colonic cancer in the daily routine.MethodA total of 131 consecutive patients scheduled for elective colonic cancer resections entered a fast-track perioperative course after thorough information. The regimen contained: no preoperative bowel cleansing, transverse and small abdominal incisions, no drains nor tubes, mobilization and normal meal the evening on the day of surgery, epidural analgesia, oral laxatives, and a planned discharge on postoperative day 3.ResultsMedian number of days postoperative in hospital were 4 days (range 1-46). Eighty-nine per cent experienced an uncomplicated course, 3% were readmitted within 30 days, and the 30-day mortality was 3.8%.ConclusionFast-track surgery is feasible in an unselected patient population scheduled for elective colon cancer resections without compromising quality.

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