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Original Article
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| Fast track surgery for biliodigestive derivation: Initial experience | ||||||
| Daniel Rios-Cruz1, Joaquin Valerio-Ureña1, Julio Abraham Hernández-Ascencio1, Patricia Galindo-López2, Veronica Torres-Medina3 | ||||||
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1Department of Surgery, High Speciality Hospital of Veracruz. Avenida 20 de noviembre S/N Centro. CP. 91900 Veracruz, Veracruz, México.
2School of Medicine University of Veracruz, México. 3Department of Anesthesiology, High Speciality Hospital of Veracruz. Avenida 20 de noviembre S/N Centro. CP. 91900 Veracruz, Veracruz, México. | ||||||
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| How to cite this article |
| Rios-Cruz D, Valerio-Ureña J, Hernández-Ascencio JA, Galindo-López P, Torres-Medina V. Fast track surgery for biliodigestive derivation: Initial experience. Int J Hepatobiliary Pancreat Dis 2015;5:9–16. |
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Abstract
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Aims:
Talk about Fast Track Surgery is referring to a series of measures implemented to accelerate postoperative recovery of the patient. This has been well demonstrated for colorectal surgery with good results. There is very little experience on its application to biliary surgery. The aim of this study is to describe the initial experience of the application of Fast Track Surgery protocol to biliodigestive surgery at high speciality hospital of Veracruz.
Methods: Descriptive, transversal, prospective study. Patients undergoing some kind of biliodigestive derivation, from January 2012 to December 2013 in our hospital under the protocol of Fast Track Surgery, were included. Results: 12 patients were treated. Nine underwent Hepp-Couinaud type derivation; three, common bile duct-duodedum anastomosis was performed. No patient remained with probes or drains after surgery. The time to start orally was 7.27 ± 2.68 hours; time to start mobilization out of bed was 5.39 ± 2.50 hours. Patients were discharged at 73.68 ± 43.81 hours post-surgical event. Two patients had surgical site infection. No re-admissions were presented. Conclusion: Application of Fast Track Surgery protocol appears to be safe and feasible. However, it is necessary to expand the sample of patients. | |
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Keywords:
Biliary tract, Biliodigestive derivation, Enhanced recovery after surgery, Fast track surgery
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Author Contributions:
Daniel Rios-Cruz – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Joaquin Valerio-Ureña – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Julio Abraham Hernández-Ascencio – Conception and design, Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Patricia Galindo-López – Conception and design, Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published. Veronica Torres-Medina – Conception and design, Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published. |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Daniel Rios-Cruz et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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