Preoperative
|
Preoperative
|
Multidisciplinary patient information |
Patient information |
No bowel preparation |
Mechanical bowel preparation |
No fasting, fluids until 2 h before surgery, solids until 6 h |
Fasting since midnight before operation |
Orally take 1000 mL + 500 mL 5% glucose solution the night before and on the morning of surgery |
No 5% glucose solution |
Intraoperative
|
Intraoperative
|
Laparoscopic standardized technique |
Laparoscopic standardized technique |
Fluid restriction (max 1500 mL) |
Fluid overload (over 1500 mL) |
Prevention of deep vein thrombosis: stretch socks |
No stretch socks |
Infusion heating |
No infusion heating |
No abdominal drainage |
Abdominal drainage |
Postoperative
|
Postoperative
|
No nasogastric tube removal at awakening |
Nasogastric tube removal after passing flatus |
Early mobilization 2 h after surgery |
Mobilization from postoperative day 1 |
Early diet intake, fluids in postoperative day 0, and soft food in postoperative day 1 |
Fluids and solids intake after first passage of stools |
Opioid-free analgesia |
Opioid-free analgesia |
Urinary catheter removal on postoperative day 1 |
Urinary catheter removal on postoperative day 2/3 |