Background: Nowadays, surgical resection was still the option for resectable colorectal cancer patients, curative resection associated with better clinical outcome and survival rate. Surgical site infection was one of the most common problem during this procedure, fast tract protocols was announced for several years to enhanced recovery after surgery. In many centre, for some other reasons, intra abdominal drain placement was still needed, according to ERAS protocols, early drain removal was recommended for those cases.
Methods: We would evaluated the resectable colorectal cancer cases with advanced stage (stage III and IV) whose already been done resection for the tumor. 30 days follow up was done to evaluated the presense of surgical site infection after surgery, the readmission rate associated with post operative infection would be recorded. Unresectable colorectal cancer cases were excluded.
Results: 14 cases of colorectal cancer patients were evaluated on this study. 1 patient was < 40 years old, the rest of patients was > 50 years old. The most common case was rectal cancer (8 patients, 57 %), left sided colon cancer was found in 3 cases. Early drain removal (the 3rd post operative days) was done for those cases. We found superficial surgical site infection on 1 case but was not associated with further readmission and was not associated with other intraabdominal complication. Those surgical site infection could be managed conservatively and was suggested with elderly and emergency operation.
Conclusion: fast track protocols for early intraabdominal drain removal was safe and not associated with increased risk of surgical site infection and readmission rate.
Key words: fast track protocols, early drain removal, colorectal cancer, surgical site infection