A multicentre comparison of a fast track or conventional postoperative protocol following laparoscopic or open elective surgery for colorectal cancer surgery

2014 ◽  
Vol 16 (2) ◽  
pp. 134-140 ◽  
Author(s):  
F. Esteban ◽  
F. J. Cerdan ◽  
M. Garcia-Alonso ◽  
R. Sanz-Lopez ◽  
A. Arroyo ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Fast Track ◽  
Elective Surgery ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery

scholarly journals 427 The Effect of Malnutrition on Early Outcomes after Cancer Surgery: An International Prospective Cohort Study in 82 Countries

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Riad ◽  
S Knight ◽  
E Harrison
Keyword(s):  
Colorectal Cancer ◽  
Cohort Study ◽  
Elective Surgery ◽  
Final Analysis ◽  
Cancer Surgery ◽  
Postoperative Outcomes ◽  
Disease Stage ◽  
Severe Malnutrition ◽  
Colorectal Cancer Surgery ◽  
After Cancer

Abstract Background Malnutrition is a state linked to worse postoperative outcomes, and cancer patients are particularly vulnerable due to cachexia. We aimed to explore the effect of malnutrition on 30-day mortality following gastric and colorectal cancer surgery. Method GlobalSurg3 was multicentre international cohort study which collected data from consecutive patients undergoing emergency or elective surgery for gastric and colorectal cancer. Malnutrition was defined using the Global Leadership Initiative on Malnutrition (GLIM) criteria. Multilevel variable regression approaches determined the relationship between malnutrition and early postoperative outcomes. Results 6438 patients were included in the final analysis (1184 gastric cancer; 5254 colorectal cancer). Severe malnutrition was common across all income-strata, affecting 1 in 4 patients overall, with a higher burden in low and lower-middle income countries (64%). In patients undergoing elective surgery (n = 5709), severe malnutrition was independently associated with increased mortality (aOR = 1.62 (1.07-2.48, P = 0.024) after accounting for patient factors, disease stage and country effects. Conclusions Severe malnutrition represents a high global burden in cancer surgery, particularly within lower income settings. Malnutrition is an independent risk-factor for 30-day mortality following elective surgery for gastric and colorectal cancer, suggesting perioperative nutritional interventions may improve outcomes after cancer surgery.

scholarly journals Fast-track surgery versus traditional perioperative care in laparoscopic colorectal cancer surgery: a meta-analysis

BMC Cancer ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Jun-hua Zhao ◽  
Jing-xu Sun ◽  
Peng Gao ◽  
Xiao-wan Chen ◽  
Yong-xi Song ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Perioperative Care ◽  
Fast Track ◽  
Meta Analysis ◽  
Cancer Surgery ◽  
Fast Track Surgery ◽  
Colorectal Cancer Surgery

scholarly journals Preliminary Results of an Exercise Program After Laparoscopic Resective Colorectal Cancer Surgery in Non-Metastatic Adenocarcinoma: A Pilot Study of a Randomized Control Trial

Medicina ◽  
2020 ◽  
Vol 56 (2) ◽  
pp. 78
Author(s):  
Gabriele Mascherini ◽  
Maria Novella Ringressi ◽  
Jorge Castizo-Olier ◽  
Georgian Badicu ◽  
Alfredo Irurtia ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Fat Mass ◽  
Elective Surgery ◽  
Cell Mass ◽  
Exercise Program ◽  
Cancer Surgery ◽  
Lower Limbs ◽  
Control Group ◽  
Colorectal Cancer Surgery ◽  
Preliminary Results

Background and objectives: Performing physical exercise after a colorectal cancer diagnosis is associated with lower mortality related to the tumor itself. In order to improve physical recovery after elective surgery, there are no specific exercise protocols after discharge from the hospital. The purpose of this study is to show the preliminary results of an exercise program after colorectal cancer surgery. Materials and Methods: Six patients with non-metastatic colorectal adenocarcinoma addressed to respective laparoscopic were randomly assigned to a mixed supervised/home-based exercise program for six months and compared to a control group without exercise. To assess the effectiveness of the program, functional and body composition parameters were evaluated. Results: Three months after surgery, the exercise group increased flexibility (p <0.01, ES = 0.33), strength of lower limbs (p <0.01, ES = 0.42) and aerobic capacity (p <0.01, ES = 0.28). After surgery, the six patients experienced a significant reduction in body mass index (BMI) and free fat mass. More specifically, fat mass reached the lowest values, with a concomitant increase in cell mass after six months (p <0.01, ES = 0.33). This did not occur in the control group. Conclusions: Colorectal cancer treatment induces a reduction in physical function, particularly during the first six months after treatment. A mixed exercise approach appears promising in countering this process after colorectal cancer surgery.

What is fast track multimodal management of colorectal cancer surgery in real life?

2018 ◽  
Vol 22 (5) ◽  
pp. 401-402 ◽  
Author(s):  
Bertrand Trilling ◽  
Pierre-Yves Sage ◽  
Jean-Luc Faucheron
Keyword(s):  
Colorectal Cancer ◽  
Fast Track ◽  
Real Life ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery ◽  
Multimodal Management

scholarly journals Outcomes of colorectal cancer surgery in the nonagenarians: 20-year result from a tertiary center

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Toi Yin Chan ◽  
Chi Chung Foo ◽  
Wai Lun Law ◽  
Oswens Lo
Keyword(s):  
Colorectal Cancer ◽  
Postoperative Complications ◽  
Elective Surgery ◽  
Cancer Surgery ◽  
Adverse Outcomes ◽  
Emergency Setting ◽  
Open Approach ◽  
Curative Intent ◽  
Colorectal Cancer Surgery ◽  
Tertiary Center

Abstract Background There is a foreseeable trend that life expectancy is on the rise in many parts of the world. More and more patients will present with colorectal cancer at extreme old age and advanced age is a well-known risk factor for adverse outcomes after surgery. The aim of this study is to evaluate the outcomes of colorectal cancer surgery in patients aged 90 or above. Method A retrospective analysis of consecutive patients aged 90 or above who underwent operations for colorectal cancer between January 1996 and December 2015 was performed. The primary outcomes were the complications rate, 30-day and 180-day mortality rates. Results A total of 57 patients were included in the analysis. The majority of them were women (64.9%). The median age was 92 years. Most of the surgery was of curative intent (77.2%), performed under elective setting (57.9%) and with open approach (78.9%). 36.8% of patients had postoperative complications, with pneumonia being the commonest. The 30-day and 180-day mortality rate was 7 and 31.6% respectively. History of ischemic heart disease and surgery under emergency setting were predictors of postoperative complications. Pneumonia, preoperative leukocytosis and Charlson comorbidity score ≥ 9 were predictors of 180-day mortality. The one and two-year survival rate for elective surgery was 69.7 and 54.5% respectively. Conclusion The outcomes of colorectal cancer surgery for nonagenarians could be favorable in a selected group of patients. Future study on better risk profiling and ways to improve outcomes is warranted.

MON-PP103: Effects of a Nutritional Intervention in a Fast-Track Program for a Colorectal Cancer Surgery: Systematic Review

2015 ◽  
Vol 34 ◽  
pp. S166
Author(s):  
C. Wanden-Berghe ◽  
◽  
K. Cheikh Moussa ◽  
A. Arroyo-Sebastián ◽  
P. Moya-Forcen ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Systematic Review ◽  
Fast Track ◽  
Nutritional Intervention ◽  
Cancer Surgery ◽  
Colorectal Cancer Surgery
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