Zahlreiche randomisierte kontrollierte Studien vor derÄra einer standardisierten «Fast-track»-Rehabilitation haben zeigen können, dass die minimal invasive Kolonchirurgie im Vergleich zur konventionellen Operation zu signifikant kürzerer stationärer Verweildauer, beschleunigter postoperativer Rekonvaleszenz (postoperative Darmfunktion und Defäkation, Kostaufbau, physische und soziale Aktivität), reduziertem Schmerzmittelverbrauch,geringerer Beeinträchtigung der Immun- und Lungenfunktion und besserer Kosmetik führt. Die Daten der randomisierten Multicenter-Studien beim Kolonkarzinom(COST, COLOR, CLASICC) zeigen zudem eine gleichwertige onkologische Radikalität und keine Nachteile in den Rezidivraten. Aufgrund der aktuellen Daten der«Fast-track»-Chirurgie müssen die evidenzbasierten Vorteile der minimal invasiven Kolonchirurgie jedoch neu objektiviert werden, um eine moderne Kolonchirurgie exakt zu definieren.

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2006
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