Pantelis D, Wolff M, Overhaus M, Hirner A, Kalff J C
Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinikum, Rheinische Friedrich-Wilhelms-Universität, Sigmund-Freud-Strasse 25, 53105, Bonn.
Urologe A. 2006 Sep;45(9):W1193-200; quiz 1200-1201. doi: 10.1007/s00120-006-1049-z.
The multimodal therapeutic concept of fast-track surgery is directed against the pathophysiologic functional changes following elective surgery. This concept has been proven to reduce postoperative morbidity and convalescence. This benefit is based on an interdisciplinary approach by surgeons, anaesthesiologists, nurses, and physiotherapy staff to optimise perioperative care in order to decrease surgically-induced stress. Fast-track surgery after elective colorectal surgery has been shown to reduce the rate of postoperative complications and shorten hospital stay significantly. A prerequisite for successfully implementing this concept is the willingness of the participating surgeons to abandon conventional traditions. In addition to abdominal procedures, the basic concept of fast-track surgery has been successfully instituted in other surgical fields, such as urology.
快速康复外科的多模式治疗理念针对择期手术后的病理生理功能变化。这一理念已被证明可降低术后发病率和缩短康复时间。这种益处基于外科医生、麻醉师、护士和物理治疗人员的跨学科方法，以优化围手术期护理，从而减少手术引起的应激。择期结直肠手术后的快速康复外科已被证明可降低术后并发症发生率并显著缩短住院时间。成功实施这一理念的一个先决条件是参与的外科医生愿意摒弃传统做法。除腹部手术外，快速康复外科的基本理念已在其他外科领域（如泌尿外科）成功应用。
