Fast track surgery for biliodigestive derivation: Initial experience

Talk about Fast Track Surgery is referring to a series of measures implemented to accelerate postoperative recovery of the patient. This has been well demonstrated for colorectal surgery with good results. There is very little experience on its application to biliary surgery. The aim of this study is to describe the initial experience of the application of Fast Track Surgery protocol to biliodigestive surgery at high speciality hospital of Veracruz. Methods: Descriptive, transversal, prospective study. Patients undergoing some kind of biliodigestive derivation, from January 2012 to December 2013 in our hospital under the protocol of Fast Track Surgery, were included. Results: 12 patients were treated. Nine underwent Hepp-Couinaud type derivation; three, common bile duct-duodedum anastomosis was performed. No patient remained with probes or drains after surgery. The time to start orally was 7.27 2.68 hours; time to start mobilization out of bed was 5.39 2.50 hours. Patients were discharged at 73.68 43.81 hours post-surgical event. Two patients had surgical site infection. No re-admissions were presented. Conclusion: Application of Fast Track Surgery protocol appears to be safe and feasible. However, it is necessary to expand the sample of patients.