Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas

Abdikarim, Ikram; Cao, Xueyuan; Li, Shou-Zhen; Zhao, Yin-Quan; Taupyk, Yerlan; Wang, Quan

doi:10.3748/wjg.v21.i47.13339

Cited by 71 publications

(75 citation statements)

References 26 publications

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“…As it is known, current treatment, and health care, and evidence based applications may speed up postoperative recovery, and decrease surgery-related deaths [1,2]. One of the evidence-based applications which emerge in line with this thought, is "Enhanced Recovery After Surgery" (ERAS) protocol developed by ERAS Society [1].…”

Section: Introductionmentioning

confidence: 99%

“…One of the evidence-based applications which emerge in line with this thought, is "Enhanced Recovery After Surgery" (ERAS) protocol developed by ERAS Society [1]. ERAS protocol may be described as, "to standardize surgical process by preventing surgery-related trauma which discloses psychologic problems, and organ dysfunctions during surgery, and to provide the most possible treatment, and health care with resultant discharge of the patient as soon as possible" [2].…”

Section: Introductionmentioning

confidence: 99%

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Enhanced recovery after surgery (ERAS) versus conventional postoperative care in patients undergoing abdominal hysterectomies

2018

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Objectives: In the present study, we aimed to compare the postoperative compliance and complications between ERAS and conventional postoperative care in patients undergoing abdominal hysterectomies. Material and methods:This is the prospective, randomized, controlled trial, which involved 62 patients, who underwent abdominal hysterectomy between December 2016 to February 2017. A total of 30 patients formed the ERAS group. A total of 32 patients who received conventional perioperative care and matched for age, body mass index (BMI) and American Society of Anesthesiologists score were assigned as a control group. Groups were compared in terms of patient characteristics [age, body mass index, ASA Score, parity, diagnosis, type of surgery, and perioperative intravenous fluids], postoperative compliance (postoperative intravenous fluids, time to first flatus, first defecation, ambulation, eating solid food, and postoperative hospital stay), and postoperative complications.Results: Peri-and post-operative administrated intravenous fluids were significantly lower in the ERAS group (p < 0.001 for both). Time to first flatus (p = 0.001), time to first defecation (p < 0.001), and time to eating solid food (p < 0.001) were all significantly shorter in the ERAS group. Post-operative early mobilization on the first postoperative day was achieved in eight (26.7%) patients in the ERAS group. There were no significant differences in complications. One (3.3%) patient in the ERAS Group and 11 (34.4%) patients in the Conventional Group required hospital readmission after discharge (p = 0.002). Conclusion:The ERAS protocol seems to be a simple tool for reducing the incidence of postoperative complications and shortening hospitalization.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) versus conventional postoperative care in patients undergoing abdominal hysterectomies

2018

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“…All studies that came up in the PUBMED search for this literature review relate to cancer related gastrectomies [16,[47][48][49][50]. Therefore, further studies are needed to conclude if the ERAS protocols are safe and effective in gastrectomies due to a different etiology.…”

Section: Discussionmentioning

confidence: 99%

“…Overload of fluids increases the risk of pulmonary interstitial edema, postoperative hypoxia and cardiopulmonary complications, and exacerbates gastrointestinal edema, which may delay recovery of gut function [16].…”

Section: Preoperative Medical Optimizationmentioning

confidence: 99%

“…Abdikarim et al [16], in an RCT conducted in patients submitted to laparoscopic assisted radical gastrectomy, showed that time to first ambulation, oral food intake, and time do defecation were significantly sorter in the ERAS group, compared to the conventional one (p=0.04, 0.003, 0.01 respectively). LOSH was also significantly lower in the ERAS group (6.8 ± 1.1 days vs. 7.7 ± 1.1 days, p=0.002).…”

Section: Gastrectomymentioning

confidence: 99%

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Enhanced Recovery After Surgery Pathway: How its Implementation Influenced Digestive Surgery Outcomes?

Tintim¹,

Machado²

2017

J Anesth Clin Res

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Enhanced Recovery After Surgery Guidelines and Hospital Length of Stay, Readmission, Complications, and Mortality

Sauro,

Smith,

Ibadin

et al. 2024

JAMA Netw Open

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ImportanceA comprehensive review of the evidence exploring the outcomes of enhanced recovery after surgery (ERAS) guidelines has not been completed.ObjectiveTo evaluate if ERAS guidelines are associated with improved hospital length of stay, hospital readmission, complications, and mortality compared with usual surgical care, and to understand differences in estimates based on study and patient factors.Data SourcesMEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, and Cochrane Central were searched from inception until June 2021.Study SelectionTitles, abstracts, and full-text articles were screened by 2 independent reviewers. Eligible studies were randomized clinical trials that examined ERAS-guided surgery compared with a control group and reported on at least 1 of the outcomes.Data Extraction and SynthesisData were abstracted in duplicate using a standardized data abstraction form. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Risk of bias was assessed in duplicate using the Cochrane Risk of Bias tool. Random-effects meta-analysis was used to pool estimates for each outcome, and meta-regression identified sources of heterogeneity within each outcome.Main Outcome and MeasuresThe primary outcomes were hospital length of stay, hospital readmission within 30 days of index discharge, 30-day postoperative complications, and 30-day postoperative mortality.ResultsOf the 12 047 references identified, 1493 full texts were screened for eligibility, 495 were included in the systematic review, and 74 RCTs with 9076 participants were included in the meta-analysis. Included studies presented data from 21 countries and 9 ERAS-guided surgical procedures with 15 (20.3%) having a low risk of bias. The mean (SD) Reporting on ERAS Compliance, Outcomes, and Elements Research checklist score was 13.5 (2.3). Hospital length of stay decreased by 1.88 days (95% CI, 0.95-2.81 days; I2 = 86.5%; P &lt; .001) and the risk of complications decreased (risk ratio, 0.71; 95% CI, 0.59-0.87; I2 = 78.6%; P &lt; .001) in the ERAS group. Risk of readmission and mortality were not significant.Conclusions and RelevanceIn this meta-analysis, ERAS guidelines were associated with decreased hospital length of stay and complications. Future studies should aim to improve implementation of ERAS and increase the reach of the guidelines.

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Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas

Abstract: The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer.

Cited by 71 publications

References 26 publications

Enhanced recovery after surgery (ERAS) versus conventional postoperative care in patients undergoing abdominal hysterectomies

Enhanced recovery after surgery (ERAS) versus conventional postoperative care in patients undergoing abdominal hysterectomies

Enhanced Recovery After Surgery Pathway: How its Implementation Influenced Digestive Surgery Outcomes?

Enhanced Recovery After Surgery Guidelines and Hospital Length of Stay, Readmission, Complications, and Mortality

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