Preliminary Report on Introduction of Enhanced Recovery after Surgery Protocol for Laparoscopic Rectal Resection: A Single-Center Experience

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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 languageEnglish
Pages (from-to)1437-1442
Number of pages6
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume28
Issue number12
DOIs
Publication statusPublished - Dec 1 2018

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Laparoscopy
Rectal Neoplasms
Length of Stay
Control Groups
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

@article{eab5e6f483f840f0a396f52e7d5e9cab,
title = "Preliminary Report on Introduction of Enhanced Recovery after Surgery Protocol for Laparoscopic Rectal Resection: A Single-Center Experience",
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.",
author = "Davide Cintorino and Calogero Ricotta and Pasquale Bonsignore and {Di Francesco}, Fabrizio and {Li Petri}, Sergio and Duilio Pagano and Alessandro Tropea and Giuliana Checchini and Fabio Tuzzolino and Salvatore Gruttadauria",
year = "2018",
month = "12",
day = "1",
doi = "10.1089/lap.2018.0234",
language = "English",
volume = "28",
pages = "1437--1442",
journal = "Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A",
issn = "1092-6429",
publisher = "Mary Ann Liebert Inc.",
number = "12",

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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.

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