A cohort study of results following elective colonic and rectal resection within an enhanced recovery programme

Faiz, Omar; Brown, Tim; Colucci, Gianluca; Kennedy, Robin H.

doi:10.1111/j.1463-1318.2008.01604.x

Cited by 45 publications

(33 citation statements)

References 24 publications

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“…The readmission rates were within the wide range reported in the literature (2·9-27 per cent) 3,12,18,22 . Although not significant, this may have been a type II error.…”

Section: Discussionmentioning

confidence: 55%

Case-matched series of enhanced versus standard recovery pathway in minimally invasive colorectal surgery

Lovely¹,

Maxson

Jacob³

et al. 2011

British Journal of Surgery

109

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“…The readmission rates were within the wide range reported in the literature (2·9-27 per cent) 3,12,18,22 . Although not significant, this may have been a type II error.…”

Section: Discussionmentioning

confidence: 55%

Case-matched series of enhanced versus standard recovery pathway in minimally invasive colorectal surgery

Lovely¹,

Maxson

Jacob³

et al. 2011

British Journal of Surgery

109

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“…Mobilization and bowel movements started more rapidly, and oral fluids and normal diet were introduced at an earlier time after surgery (P Ͻ .001). Nasogastric tubes were removed on day 0 (IQR, 0 -1) in the ERAS group compared with day 3 (IQR, Median LOS (days) a 8 (6-18.5) 12 (9-17.5) Ͻ.005 b* Low anterior resection 8 (6)(7)(8)(9)(10)(11)(12) 10 (8)(9)(10)(11)(12)(13)(14) .035 b* Abdominoperineal resection 8 (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) 14.5 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) .034 b* Median total LOS (days) a 9 (7-20.5) 13 (9)(10)(11)…”

Section: Resultsmentioning

confidence: 99%

“…19 In the current study, ERAS was shown to reduce LOS from a median of 12 days to 8 days in patients who underwent rectal surgery (P Ͻ .005). This finding agrees with others reporting on the effects of ERAS in rectal surgery.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery

Teeuwen

Bleichrodt

Jong

et al. 2011

Diseases of the Colon &Amp; Rectum

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“…10,13 An ERP had already been introduced by the colorectal department in our hospital for all patients undergoing major colorectal surgery, enhancing our understanding of the issues central to its use. Given this, there were no specific inclusion or exclusion criteria for this change to clinical practice although patient consent for the use of ERP was sought prior to its introduction.…”

Section: Methodsmentioning

confidence: 99%

Challenging boundaries: an enhanced recovery programme for radical cystectomy

Mukhtar

Ayres

Issa

et al. 2013

annals

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INTRODUCTIONThe implementation of enhanced recovery programmes (ERPs) in colorectal surgery has seen improvements in the length of inpatient stay with no increase in complications. We investigated the role of ERP in radical cystectomy at our institution. METHODS Prospective data were collected from 26 consecutive patients prior to the introduction of the ERP and 51 patients who underwent open radical cystectomy within an ERP. Individuals in the ERP cohort did not receive bowel preparation or nasogastric drainage but received preoperative carbohydrate drinks, perioperative epidural analgesia and immediate mobilisation on day 1. Primary outcome measures included duration of intensive care unit (ICU) stay and length of hospital stay. Secondary outcome measures included the time to the passage of flatus and faeces, and time to mobilisation. Other measures that were analysed included operation time and complications. RESULTS Baseline characteristics for both groups were similar. The median length of hospital stay fell from 11.5 days to 10.4 days and the mean ICU stay dropped from 2.4 days to 1.0 days (p=0.01). Time to removal of nasogastric tube, and time to passage of flatus and faeces were significantly shorter in the ERP group, as was the time to full oral diet. Clavien complication rates and 30-day mortality rates were similar in both groups. There were no readmissions. CONCLUSIONS ERP in radical cystectomy is safe and not associated with any increase in complications or readmissions. It is associated with reductions in ICU stay, and could also reduce length of hospital stay and duration of postoperative ileus.

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A cohort study of results following elective colonic and rectal resection within an enhanced recovery programme

Abstract: Laparoscopic colonic surgery in the context of an ERP offers reduced hospital stay and may confer a survival advantage over traditional techniques. These results confirm that previously reported benefits of laparoscopic surgery are reproducible within an unselected population.

Cited by 45 publications

References 24 publications

Case-matched series of enhanced versus standard recovery pathway in minimally invasive colorectal surgery

Case-matched series of enhanced versus standard recovery pathway in minimally invasive colorectal surgery

Enhanced Recovery After Surgery Versus Conventional Perioperative Care in Rectal Surgery

Challenging boundaries: an enhanced recovery programme for radical cystectomy

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