Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic and open cholecystectomy

Application of Enhanced Recovery after Surgery Pathways in Patients Undergoing Laparoscopic Cholecystectomy With and Without Common Bile Duct Exploration

“…11 Bias arising due to missing outcome data was low in 4 studies 5,6,9,10 and there was no information in 2 studies. [7,11] Bias in measurement of outcome was low in 3 studies 6,7,9 , high in one 5 , and not known in two studies. 10,11 Bias arising due to selection of reported result was low in one study 7 and not known in 5 studies.…”

“…[7,11] Bias in measurement of outcome was low in 3 studies 6,7,9 , high in one 5 , and not known in two studies. 10,11 Bias arising due to selection of reported result was low in one study 7 and not known in 5 studies. 5,6,[9][10][11] The overall bias was low in two studies 6,7 and high in 4 studies.…”

“…For pooled analysis, we used 40 patients: 20 in LC and 20 in LE. 7 The summary of all the included studies is presented in table 1.…”

“…The summary plot of quality assessment is shown in Figure 3. The bias from randomization process was low in 4 studies [5][6][7]11 and high in two studies. 9,10 Bias due to deviations from intended interventions (allocation concealment) was high in 5 studies 5-7,9,10 and there was no information in one study.…”

“…Several researchers investigated the advantages and efficacy of implementing ERAS pathways in patients undergoing LC. [5][6][7][8][9][10][11] Various outcomes like length of stay (LOS) in the hospital, pain scores, surgical site infections (SSI), readmission rate, the timing of flatus passage, and adverse effects like PONV were compared in various studies between ERAS pathways and a conventional approach in patients undergoing LC. Although ERAS pathways are being used in many centres will variable compliance, there is no clarity whether the pathways are providing favourable postoperative outcomes and improved patient care.…”