1. Department Colorectal Surgery ZARAGOZA UNIVERSITY HOSPITAL. SPAIN MULTICENTER NATIONAL STUDY ON FAST TRACK COLORECTAL SURGERY. PRELIMINARY RESULTS . JM Ramirez, JA Gracia, P Royo, E Casal-Nuñez, JV Roig, R Cabezali on behalf of the Spanish working group on fast-track Surgery.

2. Department Colorectal Surgery (1993) Protocol for Colorectal Cancer 1998 Up-dated (Laparoscopic surgery): 2001 2004 2006 2.006: 141 patients (Mean age 69 (43-89))

3. Department Colorectal Surgery (1993) Protocol for Colorectal Cancer 1998 Up-dated (Laparoscopic surgery): 2001 2004 2006 2.006: 141 patients (Mean age 69 (43-89)) *NBCAP (21.356 cases) * National Bowel Cancer Audit Project. ACPGBI. Report 2007 10 29,6 4% Length Hospital stay (mean days) Permanent Stoma rate (PSR) Post-op. Mortality (<30 days) <12 28,3 <5%

5. Evidence-Based Surgical Care and the Evolution of Fast-Track Surgery Henrik Kehlet, Douglas W. Wilmore. Ann Surg 2008;248: 189–198

6. 12 Centres Control Group: Retrospective Study (Six months) Prospective Study: Intention to treat Inclusion criteria: Colorectal cancer Open or Laparocopy Older than 18 y.o. Exclusion criteria: ASA IV Ostomy Previous CRT Madrid, April 2008

8. ON LINE. RECORDING DATA SYSTEM

9. RESULTS From July 2008 to April 2009

10. Retrospective Study 182 patients Mean age 69,6 y.o. ± SD. 13,2 (43-89). Males 61%. 69% 31% Vía abordaje 69% 31% Surgical technique Right colectomy Left Colectomy AR Sigmoidectomy approach Open surgery Lap. Surgery

11. Overall: 34,82% Retrospective Study Mean Stay: 13 days ± SD. 13,731 (4-40) Postoperative morbidity 182 patients Mean age 69,6 y.o. ± SD. 13,2 (43-89). Males 61%. W. Infection Bleeding Death ileus anastomotic leak

12. Early results (135 patients) Prospective Study Mean age 63,4 y.o. ± SD. 10,2 (38-89). Males 60%. Surgical technique

14. Prospective Retrospect. Laparosc. Lap. vs Open surgery: 63 p. vs 72 p. (non stat. Diff.) Results