Enhanced recovery after surgery decreases intestinal recovery time and pain intensity in patients undergoing curative gastrectomy

Abstract

BackgroundEnhanced recovery after surgery (ERAS) reduces postoperative stress, increases patient satisfaction, and reduces postoperative stay and cost. In this study, we evaluated the feasibility and effectiveness of ERAS protocols compared with conventional perioperative care group and their effect in gastric cancer patients undergoing gastrectomy.MethodsA cohort of 366 patients were analyzed from a prospectively maintained database. The patients’ characteristics, tumor profile, surgical information data and postoperative complications were evaluated.ResultsPatients in the ERAS had a faster gastrointestinal function recovery and first flatus (3.26±0.64; P<0.001). Pain intensity of patients in the ERAS group was significantly lower than that of patients in the conventional care group on postoperative days 1 (2.33±0.98; P<0.001) and 3 (1.06±0.63; P<0.001). Postoperative hospital stays were significantly shorter in patients receiving ERAS program (6.66±3.36; P<0.001), than in those patients who received conventional perioperative care (9.02±2.61).ConclusionERAS can reduce postoperative stress, enhance the recovery of the gut, reduce the pain intensity, and increase satisfaction in gastric cancer patient undergoing curative gastrectomy.

Enhanced Recovery After Surgery can Improve Patient Outcomes and Reduce Hospital Cost of Gastrectomy for Cancer in the West: A Propensity-Score-Based Analysis

“…Papers from Eastern countries report encouraging results with ERAS, evidencing a reduction in hospitalization, morbidity, and mortality. [3][4][5][6] Nevertheless, it is not straightforward to translate these results into everyday Western practice, because European and US patients are generally older, exhibit multiple chronic conditions, and have tumors at a more advanced stage that often require neoadjuvant treatment and more extended surgery. [7][8][9][10] Therefore, it is of primary importance to obtain information from Western centers on the feasibility and safety of ERAS for gastrectomy.…”

Application of enhanced recovery after surgery in perioperative patients undergoing laparoscopic surgery for gastric cancer: A meta-analysis

“…1). [20][21][22][23][24][25][26][27][28][29][30] The quality of the included literature was mainly of low and medium risk, with high reference value (Fig. 2).…”

“…(3) (4) (5) Desiderio J 2018 [26] 20 61.0 ± 16.0 8/12 40 63.0 ± 14.0 19/21 (1) (2) (3) (4) Chen JX 2022 [27] 23 67. [29] 30 63.2 ± 9.8 16/14 30 60.5 ± 11.6 18/12 (1) (2) (4) Ji W 2018 [30] 102 34 nutrition, which also creates an ideal state for the postoperative rehabilitation of patients and reduces the adverse reactions caused by long-term fasting. [43] At present, laparoscopic surgery has been considered the first choice for GC radical surgery.…”

Transversus abdominis plane block improves postoperative recovery following cesarean delivery under general anesthesia: A propensity score matched retrospective cohort study

“…Early ambulation can contribute to the early recovery of intestinal function, which is consistent with previous studies. 25 Thromboembolic events are one of the major causes of maternal mortality in developed countries, 26 and postpartum inactivity has been confirmed to contribute to deep vein thrombosis. 27,28 Early movement out of bed may help to avoid thrombotic events, improve respiratory function, and reduce pulmonary complications.…”