Colorectal Cancer Surgery Colorectal cancer surgery,
Conditions
Interventions
Preoperative Phase
• Fasting at midnight
• Taking mechanical bowel preparation with polyethylene glycol 2 liters or sodium phosphate 90 milliliters
• Prophylaxis antibiotic 30 min before surgery
ciprofloxacin was used instead.
Intraoperative Phase
• General anesthesia
• In patients suspected bowel obstruction or ileus surgeon may be inserted nasogastric tube
Postoperative Phase
• Fasti
7 days postoperative
• Control pain with strong opioid
,Preoperative Phase
• Fasting at 3 AM
• No mechanical bowel preparation
• Prophylaxis antibiotic 30 min before surgery: cefoxitin or cef
ciprofloxacin was used instead.
Intraoperative Phase
• Combined general and epidural at T7-
8 level anesthesia
In patients suspected bowel obstruction or ileus surgeon may be inserted nasogastric tube
Postoperative Phase
• Started with liquid diet within twenty-
four hour
• Patients were encouraged to ambulate within six hour after surgery
• Control pain with epidural block and paracetamol. Adding weak opioid when pain score greater than or equal to fou
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Traditional Program,ERAS Program
Sponsors
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Department of Surgery,
Faculty of Medicine,
Ramathibodi Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Elective colorectal surgery 2. Age 18 – 75 years old 3. Colorectal cancer stage I-IV 4. American Society of Anesthesiologist classification I-III 5. Patient sign consent form
Exclusion criteria
Exclusion criteria: 1. Previous abdominal surgery 2. Immobilized patient 3. Patient refuse to the program or loss follow up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| length of hospital stay 30 day after surgery number of the day in hospital | — |
Secondary
| Measure | Time frame |
|---|---|
| postoperative complications 30 day after discharge complication rate,rate of revisit 30 day after discharge rate of revisit | — |
Countries
Thailand
Contacts
Public ContactChairat Supsamutchai
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed