RESULTS OF THE OPTIMIZED PERIOPERATIVE CARE PROTOCOL IMPLEMENTATION IN PATIENTS WITH ELECTIVECOLON RESECTION
PURPOSE. To estimate short - term results of the optimized perioperative care protocol implementation in patients who had surgery for uncomplicated colon diseases. PATIENTS AND METHODS. 114 patients were included in the prospective randomized trial. 60 of them were included in main group where optimized protocol(OP) was applied and 54 - traditional care group (TCG) as a control one. There was no significant difference in terms of age, gender, BMI, ASA status and type ofsurgery between the groups. To evaluate an efficacy of the protocol such parameters as complication rate, pain at POD 5 by VAS, postoperative stay and hospital stay were estimated. RESULTS. no significant difference in complication rates between the groups was obtained (1 - OP, 4 - in TCG; p=0.15). Pain score at POD 5 was significantly higher in TCG (1.8 ± 0.2 points in OP, 3.3 ± 0.2 points TCG; р=0,001). Post operative hospital stay was shower in OP (4.6 ± 0.1 days) than in TCG (10.1 ± 0.9 days) (p<0,001). Length of stay in OP was 6.9± 0.2 day vs. 15.0± 1.0 days in TCG (р<0,0001). CONCLUSION. The proposed optimized protocol is effective and safe method of postoperative care in patients with un-complicated colon disease. [Key words: colon rectal surgery, optimized perioperative care protocol, traditional care]