Mérat S, Rouquie D, Bordier E, Legulluche Y, Baranger B
Département d'anesthésie-réanimation, hôpital d'instruction des armées du Val-de-Grâce, Paris, France.
Ann Fr Anesth Reanim. 2007 Jul-Aug;26(7-8):649-55. doi: 10.1016/j.annfar.2007.03.030. Epub 2007 Jun 18.
In France, the total hospital stay after colorectal resection by laparoscopy or laparotomy varies between 10 and 20 days. For several years, the concept of fast track rehabilitation in colonic surgery has been developed. In addition to a specific surgical and anaesthetic management, this concept relies on postoperative measures, particularly an early food intake and ambulation, which allow a spectacular reduction of the hospital stay to only 2 days. Two remarks temper initial optimism: all patients do not wish a short hospital stay and the wards do not always have the available resources necessary to set up this concept.
在法国,腹腔镜或开腹结肠切除术后的总住院时间在10至20天之间。多年来,结肠手术中的快速康复概念已得到发展。除了特定的手术和麻醉管理外,这一概念还依赖于术后措施,特别是早期进食和活动,这可使住院时间大幅缩短至仅2天。有两点需要冲淡最初的乐观情绪:并非所有患者都希望缩短住院时间,而且病房并不总是具备实施这一概念所需的可用资源。