Analysis of the implementation of the adapted clinical protocol Fast Track Surgery in the perioperative management of patients with acute calculous cholecystitis

Fast Track Surgery (fast track in surgery) or ERAS (enhanced recovery after surgery, accelerated recovery after surgery) is a modern multimodal and interdisciplinary strategy for the perioperative management of surgical patients, based on the use of scientifically proven medical treatment and preventive components. Purpose of the study: to analyze the clinical implementation of the adapted Fast Track Surgery protocol in the perioperative management of patients with acute calculous cholecystitis. Study design: single-center, prospective, non-randomized. This article analyzes the implementation of the components of the developed clinical protocol Fast Track Surgery in the surgical treatment of 109 patients with acute calculous cholecystitis. Of all the patients studied, 27 (24.8%) were men, and 82 (75.2%) were women. The median age of patients was 47 years (25- 65). All patients, depending on the method of cholecystectomy, were divided into 2 groups. The first group consisted of 56 (51.4%) patients who underwent laparoscopic cholecystectomy. The second group consisted of 53 (48.6%) patients who underwent cholecystectomy from a mini-access. Patients in both groups were comparable by gender and age. 16 components were adapted and included in the developed Fast Track Surgery protocol. The analysis shows a high degree of clinical implementation of the Fast Track Surgery protocol, which is due to the adaptation and selection of available and implementable components