Benefit of Rehabilitation Program in Colorectal Surgery

Benefit of Rehabilitation Program in Colorectal Laparoscopic Surgery

Rehabilitation program improves operative results following conventional open colorectal surgery. Very few data are available on such program in laparoscopic colorectal surgery.

The aim is to assess rehabilitation program in laparoscopic colorectal surgery in terms of 30 days peri operative complications

Inclusion Criteria:

• Age >= 18 years old
• Colorectal cancer
• Inform and consent form signed
• Patient has valid health insurance/coverage
• Functional capacity ≥ 4 METs (metabolic equivalents) (up 1 floor without stopping, walking down the street 5-7km / h, major domestic activities)
• Patients with laparoscopic resection for colorectal cancer including abdominoperineal resection

Inclusion Criteria (arm : Laparoscopy + Rehabilitation program):

• Tobacco and alcohol weaning

Exclusion Criteria:

• MBI < 18kg/m2
• severe malnutrition
• Metastatic colorectal cancer
• Buzby Index <83
• Combined surgery (hepatic resection or segmental resection of small intestine)
• Urgent surgery
• Pregnancy or maternal breastfeeding
• Body mass index (BMI)> 30 kg/m2
• Abdominoperineal resection
• Subtotal colectomy
• Total proctocolectomy
• Cons to Naropin Xylocaine, droperidol, ketamine
• Patient with a history of peptic ulcer