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Enhanced Recovery Programmes for Colorectal Surgery: The Guildford (UK) Experience

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The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery

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Abstract

Enhanced recovery after surgery has been established for colorectal surgery in Guildford for over 10 years and has gone hand in hand with the introduction of minimally invasive surgery, which is critical for obtaining the very best results. The philosophy and the guidelines have become so well established that they amount to normal practice. The principal factor in the establishment of this system is the involvement of key personnel with the same aim. That aim is to ensure the optimal recovery of the patient with the avoidance of post-operative complications and rapid return to normal function and well-being. The key people who drive the process are the consultant surgeon, the consultant anaesthetist and the colorectal nurse specialist. The junior doctors, ward nurses, pain control team, physiotherapists also have their role and need to be integrated into the team approach. This is important because only with the best surgery and the best perioperative care will the best results be achieved. A good operation can be entirely undone by a poor anaesthetic and vice-versa.

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References

  1. Day A, Smith R, Fawcett B, Scott M, Rockall T. The optimal fluid to use with an oesophageal Doppler monitor in laparoscopic colorectal surgery. Br J Surg. 2013;100:39.

    Google Scholar 

  2. Day A, Smith R, Fawcett B, Scott M, Rockall T. Does the choice of analgesia attenuate the stress response following laparoscopic colorectal surgery? Br J Surg. 2013;100:2.

    Google Scholar 

  3. Day A, Smith R, Jourdan I, Fawcett W, Scott M, Rockall T. Retrospective analysis of the effect of postoperative analgesia on survival in patients after laparoscopic resection of colorectal cancer. Br J Anaesth. 2012;109(2):185–90.

    Article  CAS  PubMed  Google Scholar 

  4. Levy BF, Fawcett WJ, Scott MJ, Rockall TA. Intra-operative oxygen delivery in infusion volume-optimized patients undergoing laparoscopic colorectal surgery within an enhanced recovery programme: the effect of different analgesic modalities. Colorectal Dis. 2012;14(7):887–92.

    Article  CAS  PubMed  Google Scholar 

  5. Levy BF, Scott MJ, Fawcett W, Fry C, Rockall TA. Randomized clinical trial of epidural, spinal or patient-controlled analgesia for patients undergoing laparoscopic colorectal surgery. Br J Surg. 2011;98(8):1068–78.

    Article  CAS  PubMed  Google Scholar 

  6. Levy BF, Tilney HS, Dowson HM, Rockall TA. A systematic review of postoperative analgesia following laparoscopic colorectal surgery. Colorectal Dis. 2010;12(1):5–15.

    Article  CAS  PubMed  Google Scholar 

  7. Levy BF, Scott MJ, Fawcett WJ, Day A, Rockall TA. Optimizing patient outcomes in laparoscopic surgery. Colorectal Dis. 2011;13 Suppl 7:8–11.

    Article  PubMed  Google Scholar 

  8. Levy BF, Scott MJ, Fawcett WJ, Rockall TA. 23-Hour-stay laparoscopic colectomy. Dis Colon Rectum. 2009;52(7):1239–43.

    Article  CAS  PubMed  Google Scholar 

  9. Day A, Smith R, Jourdan I, Rockall T. Laparoscopic TME for rectal cancer: a case series. Surg Laparosc Endosc Percutan Tech. 2012;22(2):e98–101.

    Article  PubMed  Google Scholar 

  10. Day AR, Smith RV, Jourdan IC, Rockall TA. Survival following laparoscopic and open colorectal surgery. Surg Endosc. 2013;27(7):2415–21.

    Article  PubMed  Google Scholar 

  11. Day AR, Middleton G, Smith RV, Jourdan IC, Rockall TA. Time to adjuvant chemotherapy following colorectal cancer resection is associated with an improved survival. Colorectal Dis. 2014;16(5):368–72.

    Article  CAS  PubMed  Google Scholar 

  12. Dowson HM, Ballard K, Gage H, Jackson D, Williams P, Rockall TA. Quality of life in the first 6 weeks following laparoscopic and open colorectal surgery. Value Health. 2013;16(2):367–72.

    Article  PubMed  Google Scholar 

  13. Dowson H, Cowie A, Ballard K, Gage H, Rockall T. Systematic review of quality of life following laparoscopic and open colorectal surgery. Colorectal Dis. 2008;10(8):757–68.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Royal Surrey Country Hospital NHS Trust, Guildford, Surrey, UK

    Timothy Rockall M.B., B.S., F.R.C.S., M.D.

  2. Director of Minimally Access Therapy Training Unit (mattu), Guildford, UK

    Timothy Rockall M.B., B.S., F.R.C.S., M.D.

  3. Department of Anaesthesia and Perioperative Medicine, Royal Surrey County Hospital NHS Foundation Trust, Surrey, Guildford, UK

    Michael Scott M.B., B.S., M.R.C.P., F.R.C.A.

  4. Surrey Periop-erative Anesthesia Critical Care Research Group (SPACeR), University of Surrey, Guildford, UK

    Michael Scott M.B., B.S., M.R.C.P., F.R.C.A.

Authors
  1. Timothy Rockall M.B., B.S., F.R.C.S., M.D.
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  2. Michael Scott M.B., B.S., M.R.C.P., F.R.C.A.
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Editor information

Editors and Affiliations

  1. Division of General Surgery Steinberg-Bernstein Chair in Minimally Invasive Surgery and Innovation, McGill University, Health Centre, Montreal, Québec, Canada

    Liane S. Feldman

  2. Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Conor P. Delaney

  3. Faculty of Medicine and Health School of Health and Medical Sciences, Department of Surgery Örebro University Örebro; Affiliated Professor of Surgery Metabolism and Nutrition, Karolinska Institute, Stockholm, Sweden

    Olle Ljungqvist

  4. Department of Anesthesia, Montreal General Hospital, McGill University, Montreal, Québec, Canada

    Francesco Carli

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© 2015 Springer International Publishing Switzerland

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Rockall, T., Scott, M. (2015). Enhanced Recovery Programmes for Colorectal Surgery: The Guildford (UK) Experience. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_23

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  • DOI: https://doi.org/10.1007/978-3-319-20364-5_23

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20363-8

  • Online ISBN: 978-3-319-20364-5

  • eBook Packages: MedicineMedicine (R0)

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