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Grover, F.L., Shroyer, A.L, Hammermeister, K., Edwards, F.H., Ferguson, T.B., Dziuban, S.W., et al. (2001) A decade’s experience with quality improvement in cardiac surgery using the veterans affairs and society of thoracic surgeons national databases. Annual Surgery, 234, 464-472. doi:10.1097/00000658-200110000-00006

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• TITLE: Assessing outcomes after fast track surgical management of corpus cancer

  AUTHORS: Jonathan Carter, Shannon Philp

  KEYWORDS: Fast Track Surgery; Clinical Audit; Corpus Cancer

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.1 No.3, September 30, 2011

  ABSTRACT: Objective: The aim of the study was to audit the outcomes of patients with corpus cancer managed with a fast track surgery (FTS) program. Design: Clinical audit of outcomes after laparotomy for corpus cancer and managed by FTS principles. Setting: Tertiary hospital, University based subspecialty gynaecological oncology practice. Population or Sample: Consecutive patients with uterine corpus cancer. There were no exclusions. Methods: Three year audit of FTS Database. Main Outcome Measures: Ability to tolerate early oral feeding (EOF), length of stay (LOS), perioperative complication rate and readmission rate. Results: Sixty six patients were operated upon whose median age was 59.5 years. Forty six (70%) had stage I disease, 7 (11%) stage II, 9 (14%) stage III and 4 (6%) had stage IV disease. Twenty seven (41%) had lymph node sampling performed. Median operating time was 2.5 hours. Mean BMI was 30 kg/m2 (Range: 18 - 47). Fifty patients (76%) were classified as over-weight or obese. Twenty four patients (36%) had a “non-zero” performance status. Mean intraoperative EBL was 227 ml. Median LOS was 3.0 days. There were 3 (5%) intraoperative complications. There were no intraoperative ureteric, bowel or vascular injuries. Postoperatively, 13 (20%) patients experienced a total of 24 adverse events. Only 2 (3%) patients experienced complications greater than grade 2. Conclusion: This audit shows that in an unselected group of patients undergoing laparotomy as management for their uterine malignancy and managed by a FTS protocol, overall excellent results can be achieved.