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Evidenzbasierte postoperative Behandlung des Kolonkarzinoms

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Chirurgie des Kolonkarzinoms

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Zusammenfassung

Die perioperative – und damit auch die postoperative – Behandlung bei Operationen von Kolonkarzinomen kann heute auf hohem Evidenzniveau festgelegt werden. Die konsequente Umsetzung der Konzepte Fast Track und ERAS (Enhanced Recovery after Surgery) vermeidet Organdysfunktionen, fördert die frühe postoperative Autonomie und Homöostase der Patienten, reduziert postoperative Komplikationen, beschleunigt die Genesung der Patienten und verkürzt den postoperativen Krankenhausaufenthalt. Diese Ergebnisse sind an eine möglichst hohe Compliance mit den einzelnen Elementen des Fast Track gebunden, wobei den 5 Kernelementen besondere Aufmerksamkeit gewidmet werden sollte. Eine sorgfältige Koordination der perioperativen Behandlung ist zwingend erforderlich. Daher kann die evidenzbasierte perioperative Therapie nur erfolgreich als Standardtherapie implementiert werden, wenn spezialisiertes Personal (Fast-Track-Assistentinnen/ERAS-Schwestern) diese Bemühungen koordiniert.

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Author information

Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Städtisches Klinikum Solingen gGmbH, Solingen, Deutschland

    Wolfgang Schwenk

  2. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Städtisches Klinikum, Solingen, Deutschland

    Iurii Krasniuk

Authors
  1. Wolfgang Schwenk
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  2. Iurii Krasniuk
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Correspondence to Wolfgang Schwenk .

Editor information

Editors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Klinikum Böblingen Sindelfingen, Klinikverbund Südwest, Böblingen, Baden-Württemberg, Germany

    Stefan Benz

  2. Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Erlangen, Erlangen, Germany

    Robert Grützmann

  3. Klinik für Visceral-, Thorax- und Gefäßchirurgie, Proktologie, Elbe Klinikum Stade, Stade, Niedersachsen, Germany

    Benno Stinner

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Schwenk, W., Krasniuk, I. (2021). Evidenzbasierte postoperative Behandlung des Kolonkarzinoms. In: Benz, S., Grützmann, R., Stinner, B. (eds) Chirurgie des Kolonkarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60453-3_24

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  • DOI: https://doi.org/10.1007/978-3-662-60453-3_24

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-60452-6

  • Online ISBN: 978-3-662-60453-3

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