Abstract
Introduction: Laparoscopic rectal surgery seems to improve postoperative recovery of patients who undergo surgery for rectal cancer. The aim of this study was to evaluate preliminary results of implementation of enhanced recovery after surgery (ERAS) protocol for laparoscopic rectal resection (LRR) for cancer at our institute. Materials and Methods: We conducted a retrospective analysis of prospectively collected data. Patients who underwent LRR for cancer at our institute after introduction of enhanced recovery protocol were compared with a control group of patients who previously underwent surgery with traditional protocol. Primary endpoints evaluated were length of stay (LOS) and rates of complications and readmissions. Results: We studied 150 consecutive patients, 56 operated with the traditional approach and 94 according to ERAS protocol. The mean (range) LOS was 10 (4-27) days for patients in control group versus 8.5 (3-32) days for patients in the ERAS group (P = .0823). No evidence of a different rate (P = .227) of complications was registered between the two groups. One patient in each group was readmitted. Conclusions: The introduction of the ERAS protocol in LRR for cancer at our institute led to an initial reduction in hospital LOS, without increase in morbidity or readmission rate compared with our previous experience with traditional protocol.
| Original language | English |
|---|---|
| Pages (from-to) | 1437-1442 |
| Number of pages | 6 |
| Journal | Journal of Laparoendoscopic and Advanced Surgical Techniques |
| Volume | 28 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - Dec 1 2018 |
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ASJC Scopus subject areas
- Surgery
Cite this
Preliminary Report on Introduction of Enhanced Recovery after Surgery Protocol for Laparoscopic Rectal Resection : A Single-Center Experience. / Cintorino, Davide; Ricotta, Calogero; Bonsignore, Pasquale; Di Francesco, Fabrizio; Li Petri, Sergio; Pagano, Duilio; Tropea, Alessandro; Checchini, Giuliana; Tuzzolino, Fabio; Gruttadauria, Salvatore.
In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 28, No. 12, 01.12.2018, p. 1437-1442.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Preliminary Report on Introduction of Enhanced Recovery after Surgery Protocol for Laparoscopic Rectal Resection
T2 - A Single-Center Experience
AU - Cintorino, Davide
AU - Ricotta, Calogero
AU - Bonsignore, Pasquale
AU - Di Francesco, Fabrizio
AU - Li Petri, Sergio
AU - Pagano, Duilio
AU - Tropea, Alessandro
AU - Checchini, Giuliana
AU - Tuzzolino, Fabio
AU - Gruttadauria, Salvatore
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Introduction: Laparoscopic rectal surgery seems to improve postoperative recovery of patients who undergo surgery for rectal cancer. The aim of this study was to evaluate preliminary results of implementation of enhanced recovery after surgery (ERAS) protocol for laparoscopic rectal resection (LRR) for cancer at our institute. Materials and Methods: We conducted a retrospective analysis of prospectively collected data. Patients who underwent LRR for cancer at our institute after introduction of enhanced recovery protocol were compared with a control group of patients who previously underwent surgery with traditional protocol. Primary endpoints evaluated were length of stay (LOS) and rates of complications and readmissions. Results: We studied 150 consecutive patients, 56 operated with the traditional approach and 94 according to ERAS protocol. The mean (range) LOS was 10 (4-27) days for patients in control group versus 8.5 (3-32) days for patients in the ERAS group (P = .0823). No evidence of a different rate (P = .227) of complications was registered between the two groups. One patient in each group was readmitted. Conclusions: The introduction of the ERAS protocol in LRR for cancer at our institute led to an initial reduction in hospital LOS, without increase in morbidity or readmission rate compared with our previous experience with traditional protocol.
AB - Introduction: Laparoscopic rectal surgery seems to improve postoperative recovery of patients who undergo surgery for rectal cancer. The aim of this study was to evaluate preliminary results of implementation of enhanced recovery after surgery (ERAS) protocol for laparoscopic rectal resection (LRR) for cancer at our institute. Materials and Methods: We conducted a retrospective analysis of prospectively collected data. Patients who underwent LRR for cancer at our institute after introduction of enhanced recovery protocol were compared with a control group of patients who previously underwent surgery with traditional protocol. Primary endpoints evaluated were length of stay (LOS) and rates of complications and readmissions. Results: We studied 150 consecutive patients, 56 operated with the traditional approach and 94 according to ERAS protocol. The mean (range) LOS was 10 (4-27) days for patients in control group versus 8.5 (3-32) days for patients in the ERAS group (P = .0823). No evidence of a different rate (P = .227) of complications was registered between the two groups. One patient in each group was readmitted. Conclusions: The introduction of the ERAS protocol in LRR for cancer at our institute led to an initial reduction in hospital LOS, without increase in morbidity or readmission rate compared with our previous experience with traditional protocol.
UR - http://www.scopus.com/inward/record.url?scp=85058509101&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85058509101&partnerID=8YFLogxK
U2 - 10.1089/lap.2018.0234
DO - 10.1089/lap.2018.0234
M3 - Article
C2 - 29733252
AN - SCOPUS:85058509101
VL - 28
SP - 1437
EP - 1442
JO - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
JF - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
SN - 1092-6429
IS - 12
ER -