Fast Track Laparoscopic Surgery: A Better Option for Treating Colorectal Cancer Than Conventional Laparoscopic Surgery

Fast Track Laparoscopic Surgery: A Better Option for Treating Colorectal Cancer Than Conventional Laparoscopic Surgery

To compare the outcomes of fast track laparoscopic surgery and conventional laparoscopic surgery.

Method: This study is a blinded randomized trial. 70 patients with colorectal cancer will undergo laparoscopic colorectal resection, and will be divided into two groups. Protocols for fast-track group includes skipping preoperative mechanical bowel preparation, early restoration of diet and early postoperative ambulation. Outcome measures, length of hospital stay, postoperative surgical stress response (C reactive protein) and postoperative complications will be compared between the two groups.

Inclusion Criteria:

• Age ≤75 years
• Good nutrition
• no systemic infection
• Elective laparoscopic surgery

Exclusion Criteria:

• Age >75 years
• Malnutrition or an organ system infection
• Associated with obstruction, bleeding, emergency surgery or surgical intervention
• Tumor with extensive metastasis
• Before operation patient was fasting, underwent gastrointestinal decompression and received nutritional support
• Previous history of abdominal surgery
• Patient had previously undergone gastrostomy