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Enhanced Recovery After Surgery (ERAS) Protocol: Prospective Study of Outcome in Colorectal Surgery
- Source :
- Acta Chirurgica Belgica. 112:355-358
- Publication Year :
- 2012
- Publisher :
- Informa UK Limited, 2012.
-
Abstract
- Fast-track programs (ERAS) have been shown to improve postoperative recovery in colorectal surgery, combining newer anesthetic and minimally invasive surgery with evidence-based adjustments to facilitate revalidation. This prospective study evaluated the outcome of an ERAS protocol implementation in a university colorectal unit.Between 2009 and 2010, 94 patients (49 males and 45 females) underwent an elective colorectal resection and were included in this protocol. All data were prospectively gathered in an electronic database. A cohort comparison was performed with 120 patients operated on in 2008 before ERAS implementation.The median age was 58 years [range: 29-76 years] and the median ASA score was 2. All colorectal procedures (85 sigmoid resections, 7 right hemicolectomies and 2 low anterior resections) were performed laparoscopically, with a conversion rate of 9,5%. Complications were noted in 14 patients (14,9%); two patients (2,1%) required a laparoscopic drainage of an infected hematoma during initial hospital stay. A significant (p0,001) reduced median postoperative hospital stay of 4 days [range : 2-11 days] in the ERAS group, compared with 6 days [range : 3-37] in the non fast-track group was noted. Early readmission occurred in five patients (5,3%) because of anastomotic leakage (n = 2), ileus (n = 2) and a wound infection (n = 1).These results of length of stay, morbidity and readmission-rates have important implications for the organization of health care, waiting lists and costs. Therefore the ERAS principles should be more wide-spread implemented.
- Subjects :
- Adult
Male
medicine.medical_specialty
Postoperative recovery
Patient Readmission
Clinical Protocols
Outcome Assessment, Health Care
medicine
Humans
Prospective Studies
Prospective cohort study
Laparoscopy
Enhanced recovery after surgery
Colectomy
Digestive System Surgical Procedures
Aged
Protocol (science)
medicine.diagnostic_test
business.industry
Rectum
General Medicine
Length of Stay
Middle Aged
Colorectal surgery
Surgery
Elective Surgical Procedures
Female
Electronic database
Elective Surgical Procedure
business
Subjects
Details
- ISSN :
- 00015458
- Volume :
- 112
- Database :
- OpenAIRE
- Journal :
- Acta Chirurgica Belgica
- Accession number :
- edsair.doi.dedup.....e8812b5d024c45cc5216690d4289629f