Utility of a clinical pathway for laparoscopic colon cancer surgery that incorporates preoperative oral rehydration therapy and early postoperative oral intake
2018 Volume 33 Issue 1 Pages 633-640
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2018 Volume 33 Issue 1 Pages 633-640
Objective: To evaluate the utility of a clinical pathway (CP) that incorporates preoperative oral rehydration therapy and early postoperative oral intake into laparoscopic colon cancer surgery.
Methods: At the Division of Colon Surgery, Shizuoka Cancer Center, laparoscopic surgery for colon cancer was performed in 246 patients on the conventional CP with preoperative fasting (control group) and 255 patients on a newly established CP that incorporated preoperative oral rehydration therapy and early postoperative oral intake (enhanced nutrition group). Energy balance was compared between the groups.
Results: Compared with the control group, the enhanced nutrition group showed significant improvements in weight loss, total energy supply, and oral caloric intake and significant reductions in the calories provided by parenteral nutrition feeds and the number of such feeds needed (all P<0.0001). The number of deviations from the CP did not differ significantly between the groups (P=0.1112).
Conclusion: The newly established CP appears to be more useful in improving energy balance and conserving medical resources in patients undergoing laparoscopic surgery for colon cancer.
