Laparoscopic colorectal surgery and Enhanced Recovery After Surgery (ERAS) program: Experience with 200 cases from a single Italian center

Medicine
Corrado PedrazzaniAlfredo Guglielmi

Abstract

There is increasing evidence that minimally invasive techniques associated with Enhanced Recovery After Surgery (ERAS) protocols reduce surgery-related stress and promote faster recovery after major colorectal surgery. As a single tertiary referral center for colorectal surgery, our aim was to analyze the effects of our ERAS protocol on a heterogeneous population undergoing laparoscopic colorectal surgery.Prospectively collected data from 283 patients undergoing laparoscopic colorectal resection at the Division of General and Hepatobiliary Surgery, University of Verona Hospital Trust, between March 2014 and March 2018 were retrospectively analyzed. Patients' adherence to pre-, intra-, and postoperative ERAS protocol items together with surgical short-term outcomes such as morbidity, mortality, length of hospital stay, and readmission rate was considered.The study protocol was approved by the Ethics Committee of Azienda Ospedaliera Universitaria Integrata di Verona (CRINF-1034 CESC).During the study period, 200 patients met the inclusion criteria and were enrolled in the ERAS protocol. In this series, 34% of patients were aged 70 years or older. Rectal resections represented 26% of all cases, with stoma formation performed in 14...Continue Reading

References

Oct 21, 2009·Archives of Surgery·Kristoffer LassenUNKNOWN Enhanced Recovery After Surgery (ERAS) Group
Oct 12, 2012·World Journal of Surgery·U O GustafssonUNKNOWN International Association for Surgical Metabolism and Nutrition (IASMEN)
Jun 12, 2013·The British Journal of Surgery·D RoulinN Demartines
Dec 26, 2013·World Journal of Surgery·Massimiliano GrecoMarco Braga
Jan 29, 2014·The British Journal of Surgery·A NicholsonA F Smith
Oct 23, 2016·International Journal of Colorectal Disease·J SliekerM Hübner
May 2, 2017·The Journal of Surgical Research·Corrado PedrazzaniAlfredo Guglielmi

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