Department of Surgery, Trinity Centre for Health Sciences, Trinity College Dublin/St James' Hospital, Dublin 8, Ireland.
Surgeon. 2011 Apr;9(2):95-103. doi: 10.1016/j.surge.2010.07.013.
Fast-track surgery (FTS) is a set of protocols aimed to reduce the physiological burden of surgery thus improving outcomes. FTS aims to use evidence-based practice to reduce complications, improve post-operative quality of life and decrease hospital length of stay. This review seeks to examine the evidence base for protocols employed in colorectal surgery in the areas of pre-operative preparation, anaesthetic management, intraoperative and surgical factors and post-operative care. Despite the evidence that recovery after colorectal surgery can be enhanced by using these approaches, implementation of FTS protocols has been slow. Acceptance of FTS protocols by all members of the multi-disciplinary team and a change in organisational structure to accommodate structured peri-operative care, are imperative to implementation.
快速康复外科（FTS）是一组旨在减轻手术生理负担从而改善手术效果的方案。FTS 旨在利用循证医学实践减少并发症、提高术后生活质量和缩短住院时间。本综述旨在检查结直肠手术中术前准备、麻醉管理、术中及手术因素和术后护理方面所采用方案的证据基础。尽管有证据表明，通过采用这些方法可以促进结直肠手术后的恢复，但 FTS 方案的实施进展缓慢。多学科团队所有成员接受 FTS 方案和改变组织结构以适应围手术期的结构化护理，对于实施至关重要。
