메뉴 건너뛰기




Volumn 12, Issue 2, 2006, Pages 166-170

Optimizing perioperative management of patients undergoing colorectal surgery: What is new?

Author keywords

Colorectal surgery; Fluid therapy; Length of stay; Perioperative care; Recovery of function

Indexed keywords

ALVIMOPAN; CARBOHYDRATE; OPIATE ANTAGONIST;

EID: 33645302934     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/01.ccx.0000216586.62125.6d     Document Type: Review
Times cited : (29)

References (33)
  • 2
    • 21044438303 scopus 로고    scopus 로고
    • Patterns in current perioperative practice: Survey of colorectal surgeons in five northern European countries
    • Lassen K, Hannemann P, Ljungqvist O, et al. Patterns in current perioperative practice: survey of colorectal surgeons in five northern European countries. BMJ 2005; 330:1420-1421. This survey reveals a large gap between evidence and clinical practice in surgical care, and highlights the difficulty in transforming scientific evidence into daily practice in the complexity of perioperative care.
    • (2005) BMJ , vol.330 , pp. 1420-1421
    • Lassen, K.1    Hannemann, P.2    Ljungqvist, O.3
  • 3
  • 4
    • 20844432023 scopus 로고    scopus 로고
    • Enhanced recovery after surgery: A consensus review of clinical care for patients undergoing colonic resection
    • Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 2005; 24:466-477. This is a consensus statement from the Enhanced Recovery After Surgery (ERAS) study group, outlining current best clinical practice in perioperative care in colonic surgery, along with the evidence supporting it.
    • (2005) Clin Nutr , vol.24 , pp. 466-477
    • Fearon, K.C.1    Ljungqvist, O.2    Von Meyenfeldt, M.3
  • 5
    • 33645286964 scopus 로고    scopus 로고
    • Accelerated recovery with a fast-track programme in colonic resection and TME
    • 15-17 September 2005; Bologna. Oxford: Blackwell Publishing
    • Nygren J, Soop M, Frändén E, et al. Accelerated recovery with a fast-track programme in colonic resection and TME. In: Second Joint Meeting, European Association of Coloproctology; 15-17 September 2005; Bologna. Oxford: Blackwell Publishing; 2005. p. 7.
    • (2005) Second Joint Meeting, European Association of Coloproctology , pp. 7
    • Nygren, J.1    Soop, M.2    Frändén, E.3
  • 6
    • 1442348778 scopus 로고    scopus 로고
    • Colonic surgery with accelerated rehabilitation or conventional care
    • Basse L, Thorbol JE, Lossl K, et al. Colonic surgery with accelerated rehabilitation or conventional care. Dis Colon Rectum 2004; 47:277-278; discussion 271-277.
    • (2004) Dis Colon Rectum , vol.47 , pp. 277-278
    • Basse, L.1    Thorbol, J.E.2    Lossl, K.3
  • 7
    • 27544443265 scopus 로고    scopus 로고
    • Randomized clinical trial of multimodal optimization of surgical care in patients undergoing major colonic resection
    • Gatt M, Anderson AD, Reddy BS, et al. Randomized clinical trial of multimodal optimization of surgical care in patients undergoing major colonic resection. Br J Surg 2005; 92:1354-1362. This RCT, although small, shows clear clinical benefits of an enhanced-recovery protocol in an unselected patient population.
    • (2005) Br J Surg , vol.92 , pp. 1354-1362
    • Gatt, M.1    Anderson, A.D.2    Reddy, B.S.3
  • 8
    • 4744360238 scopus 로고    scopus 로고
    • 'Fast-track' multimodal rehabilitation program improves outcome after laparoscopic sigmoidectomy: A controlled prospective evaluation
    • Raue W, Haase O, Junghans T, et al. 'Fast-track' multimodal rehabilitation program improves outcome after laparoscopic sigmoidectomy: a controlled prospective evaluation. Surg Endosc 2004; 18:1463-1468.
    • (2004) Surg Endosc , vol.18 , pp. 1463-1468
    • Raue, W.1    Haase, O.2    Junghans, T.3
  • 9
    • 15944369345 scopus 로고    scopus 로고
    • Randomized controlled trial comparing the controlled rehabilitation with early ambulation and diet pathway versus the controlled rehabilitation with early ambulation and diet with pre-emptive epidural anesthesia/analgesia after laparotomy and intestinal resection
    • Zutshi M, Delaney CP, Senagore AJ, et al. Randomized controlled trial comparing the controlled rehabilitation with early ambulation and diet pathway versus the controlled rehabilitation with early ambulation and diet with pre-emptive epidural anesthesia/analgesia after laparotomy and intestinal resection. Am J Surg 2005; 189:268-272. This was the first study of the clinical effects of epidural analgesia within the context of a fast-track protocol. Although no effects on postoperative length of stay or morbidity were seen in this relatively small study, gastrointestinal function tended to be better in the epidural group than in the systemic opioid group.
    • (2005) Am J Surg , vol.189 , pp. 268-272
    • Zutshi, M.1    Delaney, C.P.2    Senagore, A.J.3
  • 10
    • 0242662131 scopus 로고    scopus 로고
    • Efficacy of postoperative epidural analgesia: A meta-analysis
    • Block BM, Liu SS, Rowlingson AJ, et al. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA 2003; 290:2455-2463.
    • (2003) JAMA , vol.290 , pp. 2455-2463
    • Block, B.M.1    Liu, S.S.2    Rowlingson, A.J.3
  • 11
    • 84921431733 scopus 로고    scopus 로고
    • Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery
    • Jorgensen H, Wetterslev J, Moiniche S, et al. Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery. Cochrane Database Syst Rev 2000; (4):CD001893.
    • (2000) Cochrane Database Syst Rev , Issue.4
    • Jorgensen, H.1    Wetterslev, J.2    Moiniche, S.3
  • 13
    • 14544280280 scopus 로고    scopus 로고
    • Functional recovery after open versus laparoscopic colonic resection: A randomized, blinded study
    • Basse L, Jakobsen DH, Bardram L, et al. Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study. Ann Surg 2005; 241:416-423. A methodologically ambitious, patient-blinded and assessor-blinded RCT of laparoscopic versus open colonic resection within the context of an established, highly successful enhanced-recovery protocol. Since none of the previously shown benefits of laparoscopic surgery could be seen in this protocol, in which perioperative care was optimized, the role of surgical technique in this context remains unclear.
    • (2005) Ann Surg , vol.241 , pp. 416-423
    • Basse, L.1    Jakobsen, D.H.2    Bardram, L.3
  • 14
    • 0035829852 scopus 로고    scopus 로고
    • Intensive insulin therapy in the surgical intensive care unit
    • van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in the surgical intensive care unit. N Engl J Med 2001; 345:1359-1367.
    • (2001) N Engl J Med , vol.345 , pp. 1359-1367
    • Van Den Berghe, G.1    Wouters, P.2    Weekers, F.3
  • 15
    • 4444330411 scopus 로고    scopus 로고
    • Randomized clinical trial of the effects of immediate enterai nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol
    • Soop M, Carlson GL, Hopkinson J, et al. Randomized clinical trial of the effects of immediate enterai nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol. Br J Surg 2004; 91:1138-1145. This study showed that it is possible to avoid postoperative hyperglycaemia and increased nitrogen losses if insulin resistance is minimized using epidural analgesia and preoperative oral carbohydrate treatment. This is a way to avoid the use of insulin in the postoperative ward.
    • (2004) Br J Surg , vol.91 , pp. 1138-1145
    • Soop, M.1    Carlson, G.L.2    Hopkinson, J.3
  • 16
    • 0036692194 scopus 로고    scopus 로고
    • Modulation of post-operative insulin resistance by pre-operative carbohydrate loading
    • Ljungqvist O, Nygren J, Thorell A. Modulation of post-operative insulin resistance by pre-operative carbohydrate loading. Proc Nutr Soc 2002; 61:329-336.
    • (2002) Proc Nutr Soc , vol.61 , pp. 329-336
    • Ljungqvist, O.1    Nygren, J.2    Thorell, A.3
  • 17
    • 12744275022 scopus 로고    scopus 로고
    • The administration of an oral carbohydrate-containing fluid prior to major elective upper-gastrointestinal surgery preserves skeletal muscle mass postoperatively - A randomised clinical trial
    • Yuill KA, Richardson RA, Davidson HI, et al. The administration of an oral carbohydrate-containing fluid prior to major elective upper- gastrointestinal surgery preserves skeletal muscle mass postoperatively - a randomised clinical trial. Clin Nutr 2005; 24:32-37. This was the first double-blinded RCT of preoperative oral carbohydrate treatment of unselected patients undergoing major abdominal surgery. This intervention resulted in minimized losses of lean body mass.
    • (2005) Clin Nutr , vol.24 , pp. 32-37
    • Yuill, K.A.1    Richardson, R.A.2    Davidson, H.I.3
  • 18
    • 0021180148 scopus 로고
    • The effect of preoperative glucose loading on postoperative nitrogen metabolism
    • Crowe P, Dennison A, Royle G. The effect of preoperative glucose loading on postoperative nitrogen metabolism. Br J Surg 1984; 71:635-637.
    • (1984) Br J Surg , vol.71 , pp. 635-637
    • Crowe, P.1    Dennison, A.2    Royle, G.3
  • 19
    • 4243089448 scopus 로고    scopus 로고
    • Preoperative oral carbohydrate treatment attenuates endogenous glucose release 3 days after surgery
    • Soop M, Nygren J, Thorell A, et al. Preoperative oral carbohydrate treatment attenuates endogenous glucose release 3 days after surgery. Clin Nutr 2004; 23:733-741.
    • (2004) Clin Nutr , vol.23 , pp. 733-741
    • Soop, M.1    Nygren, J.2    Thorell, A.3
  • 20
    • 0037298913 scopus 로고    scopus 로고
    • Effects of preoperative oral carbohydrates and peptides on postoperative endocrine response, mobilization, nutrition and muscle function in abdominal surgery
    • Henriksen MG, Hessov I, Dela F, et al. Effects of preoperative oral carbohydrates and peptides on postoperative endocrine response, mobilization, nutrition and muscle function in abdominal surgery. Acta Anaesthesiol Scand 2003; 47:191-199.
    • (2003) Acta Anaesthesiol Scand , vol.47 , pp. 191-199
    • Henriksen, M.G.1    Hessov, I.2    Dela, F.3
  • 21
    • 13244275345 scopus 로고    scopus 로고
    • Type 2 diabetes mellitus and the catabolic response to surgery
    • Schricker T, Gougeon R, Eberhart L, et al. Type 2 diabetes mellitus and the catabolic response to surgery. Anesthesiology 2005; 102:320-326. This study underlined the role of metabolic derangements for the increased risk of postoperative complications, previously repeatedly reported for patients with diabetes.
    • (2005) Anesthesiology , vol.102 , pp. 320-326
    • Schricker, T.1    Gougeon, R.2    Eberhart, L.3
  • 22
    • 4444292802 scopus 로고    scopus 로고
    • Meta-analysis of randomized clinical trials of colorectal surgery with or without mechanical bowel preparation
    • Slim K, Vicaut E, Panis Y, et al. Meta-analysis of randomized clinical trials of colorectal surgery with or without mechanical bowel preparation. Br J Surg 2004; 91:1125-1130. This is one of two recent meta-analyses that independently show not only an absence of benefit from routine preoperative oral bowel preparation, but also an increased risk of anastomotic dehiscence.
    • (2004) Br J Surg , vol.91 , pp. 1125-1130
    • Slim, K.1    Vicaut, E.2    Panis, Y.3
  • 23
    • 70249128630 scopus 로고    scopus 로고
    • Mechanical bowel preparation for elective colorectal surgery
    • ••], partially performed on the same RCTs, the question arises whether routine preoperative oral bowel preparation should be considered contra-indicated.
    • (2005) Cochrane Database Syst Rev , Issue.1
    • Guenaga, K.F.1    Matos, D.2    Castro, A.A.3
  • 24
    • 22744454831 scopus 로고    scopus 로고
    • Anterior resection of rectal cancer without bowel preparation and diverting stoma
    • Vlot EA, Zeebregts CJ, Gerritsen JJ, et al. Anterior resection of rectal cancer without bowel preparation and diverting stoma. Surg Today 2005; 35:629-633.
    • (2005) Surg Today , vol.35 , pp. 629-633
    • Vlot, E.A.1    Zeebregts, C.J.2    Gerritsen, J.J.3
  • 25
    • 4444228400 scopus 로고    scopus 로고
    • Physiologic effects of bowel preparation
    • Holte K, Nielsen KG, Madsen JL, et al. Physiologic effects of bowel preparation. Dis Colon Rectum 2004; 47:1397-1402.
    • (2004) Dis Colon Rectum , vol.47 , pp. 1397-1402
    • Holte, K.1    Nielsen, K.G.2    Madsen, J.L.3
  • 26
    • 0642338453 scopus 로고    scopus 로고
    • Effects of intravenous fluid restriction on postoperative complications: Comparison of two perioperative fluid regimens: A randomized assessor-blinded multicenter trial
    • Brandstrup B, Tonnesen H, Beier-Holgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann Surg 2003; 238:641-648.
    • (2003) Ann Surg , vol.238 , pp. 641-648
    • Brandstrup, B.1    Tonnesen, H.2    Beier-Holgersen, R.3
  • 27
    • 0037172426 scopus 로고    scopus 로고
    • Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: A randomised controlled trial
    • Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet 2002; 359:1812-1818.
    • (2002) Lancet , vol.359 , pp. 1812-1818
    • Lobo, D.N.1    Bostock, K.A.2    Neal, K.R.3
  • 28
    • 21744453024 scopus 로고    scopus 로고
    • Effect of intraoperative fluid management on outcome after intraabdominal surgery
    • Nisanevich V, Felsenstein I, Almogy G, et al. Effect of intraoperative fluid management on outcome after intraabdominal surgery. Anesthesiology 2005; 103:25-32. This key paper reporting a large RCT of intraoperative fluid 'restriction', supporting previous work by showing significantly lower morbidity and gastrointestinal paralysis in the 'restricted' fluids group. Targeting zero weight gain postoperatively can be a useful clinical goal for perioperative fluid therapy. Interestingly, this study confirmed results from reducing saline infusion also when using balanced salt solutions.
    • (2005) Anesthesiology , vol.103 , pp. 25-32
    • Nisanevich, V.1    Felsenstein, I.2    Almogy, G.3
  • 29
    • 19344368841 scopus 로고    scopus 로고
    • Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): Multicentre, randomised controlled trial
    • Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 2005; 365:1718-1726.
    • (2005) Lancet , vol.365 , pp. 1718-1726
    • Guillou, P.J.1    Quirke, P.2    Thorpe, H.3
  • 30
    • 16644376657 scopus 로고    scopus 로고
    • Prophylactic anastomotic drainage for colorectal surgery
    • Jesus E, Karliczek A, Matos D, et al. Prophylactic anastomotic drainage for colorectal surgery. Cochrane Database Syst Rev 2004; (4):CD002100. This meta-analysis clearly underlines that the use of routine wound drainage after colonic surgery is unnecessary. Routine wound drainage hampers mobilization and has no place in enhanced-recovery programmes.
    • (2004) Cochrane Database Syst Rev , Issue.4
    • Jesus, E.1    Karliczek, A.2    Matos, D.3
  • 31
    • 20444393518 scopus 로고    scopus 로고
    • Anterior resection with low colorectal anastomosis. To drain or not?
    • Bretagnol F, Slim K, Faucheron JL. Anterior resection with low colorectal anastomosis. To drain or not? [in French] Ann Chir 2005; 130:336-339.
    • (2005) Ann Chir , vol.130 , pp. 336-339
    • Bretagnol, F.1    Slim, K.2    Faucheron, J.L.3
  • 32
    • 4644311821 scopus 로고    scopus 로고
    • Alvimopan, a novel, peripherally acting mu opioid antagonist: Results of a multicenter, randomized, double-blind, placebo-controlled, phase III trial of major abdominal surgery and postoperative ileus
    • Wolff BG, Michelassi F, Gerkin TM, et al. Alvimopan, a novel, peripherally acting mu opioid antagonist: results of a multicenter, randomized, double-blind, placebo-controlled, phase III trial of major abdominal surgery and postoperative ileus. Ann Surg 2004; 240:728-734; discussion 734-725. This multicentre RCT demonstrated clinical efficacy of perhaps the first drug that attenuates postoperative gastrointestinal paralysis, a significant problem in recovery after colorectal surgery. This may become an important addition for patients in need of opioids to control pain, and potentially have even wider use.
    • (2004) Ann Surg , vol.240 , pp. 728-734
    • Wolff, B.G.1    Michelassi, F.2    Gerkin, T.M.3
  • 33
    • 0031578958 scopus 로고    scopus 로고
    • Endogenous morphine levels increase following cardiac surgery as part of the antiinflammatory response?
    • Brix-Christensen V, Tonnesen E, Sanchez RG, et al. Endogenous morphine levels increase following cardiac surgery as part of the antiinflammatory response? Int J Cardiol 1997; 62:191-197.
    • (1997) Int J Cardiol , vol.62 , pp. 191-197
    • Brix-Christensen, V.1    Tonnesen, E.2    Sanchez, R.G.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.