Scientific Online Resource System

Social Medicine

Nursing cares at fast - track (laparoscopic and robotic ) surgery

Milena Nankova Nankova, Silvia Borisova


 Introduction: The concept of accelerated surgical recovery after laparoscopic surgery, also called ERAS aims at faster discharge from the hospital and faster recovery of the body after various volumes of surgical interventions without increasing complications or mortality. The application of nursing care with the fast recovery method postoperatively can reduce postoperative complications and pain, shorten the hospital stay, so that the quality of rehabilitation is significantly improved.

Aim: To study the application of rapid recovery syrgery (RRS) by surgical nurses (SN) and to reveal the possibilities for its optimization..

Material and methods: In nine large hospitals in Bulgaria the opinion of doctors and senior nurses (122) on the application of RRS by SN was studied; self-assessment of SN (147) who are working according to the rules of RRS. Applied methods - documentary analysis, structured interview and direct anonymous poll.

Results: A high degree of knowledge of the rules and experience in practicing RRS from SN is established, as well as the need for additional nursing documentation related to postoperative care - algorithms for work and introduction of a checklist. Suggestions for improvement of the SN work protocol have been made.


nurse, fast-track surgery, laparoscopic and robotic surgery

Full Text


Грудева М. Процесът на обучение във медицинското училище, МООРЕА- Варна 2011, 48-51.

Пучков К., В. Коренная, Н. Подзолкова, Fast track: хирургические протоколы ускоренной реабилитации в гинекологии, Здоровье женщины №8 (114)/2016 ISSN 1992;5921

Расулов A., С. Гордеев, А. Овчинникова, Ю. Ковалева,Результаты протокола ускоренного восстановления у больных колоректальным раком, Онкологическая Колопроктология ,ТОМ 6 / VOL. 6, 02.2016, 19

Bona S, et al Introducing an enhanced recovery after surgery program in colorectal surgery: A single center experience, World J Gastroenterol. 2014 Dec 14; 20(46): 17578–17587. Published online 2014 Dec 14. doi: 10.3748/wjg.v20.i46.17578

Brumm J Baylor operating room: past, present, future Proc (Bayl Univ Med Cent). 2004 Jan; 17(1): 83–88)

Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: Systematic review and meta-analysis of controlled trials. BMJ. 2001;323:773–6.(PMC free article) (PubMed)

Liu Yongrui, Application of fast track surgery in routine nursing for patient with colorectal cancer, Saudi J Biol Sci. 2017 Dec; 24(8): 1939–1942. .(PubMed)

Lyon A, Payne CJ, Mackay GJ. Enhanced recovery programme in colorectal surgery: does one size fit all? World J Gastroenterol. 2012;18:5661–5663. (PMC free article) (PubMed) (Google Scholar)

Maessen J, Dejong CH, Hausel J, Nygren J, Lassen K, Andersen J, Kessels AG, Revhaug A, Kehlet H, Ljungqvist O, et al. A protocol is not enough to implement an enhanced recovery programme for colorectal resection. Br J Surg. 2007;94:224–231. (PubMed) (Google Scholar)

Norlyk Annelise,Ing. Harder, After colonic surgery: The lived experience of participating in a fast-track programme, Int J Qual Stud Health Well-being. 2009; 4: 170–180.

Sjöstedt L, Hellström R, Stomberg MW. Patients’ need for information prior to colonic surgery. Gastroenterol Nurs. 2011;34:390–397. (PubMed) (Google Scholar)

Тодоров Т. Чек лист – съставяне и начин на приложение, 2011,

ERAS - The key points, University College London,



Font Size