The factors related to failure of Enhanced Recovery after Surgery (ERAS) in colon cancer surgery

Chen, Jiansheng; Sun, Si-Da; Wang, Zhisheng; Cai, Tian-Hong; Huang, Long-Kai; Sun, Wen-Xing; Lin, Changqing; Jun, Zhou; Wang, Jiaxing; He, Qingliang

doi:10.1007/s00423-020-01975-z

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…As reported in multiple randomized controlled trials, this is due to less surgical stress response ( 14 , 15 ). And it is also found in several randomized studies evaluating the effect of ERAS protocols on the outcomes of elective colorectal surgery that the implementation of ERAS helps reduce complications and median post-operative stay and accelerate postoperative recovery ( 16 , 17 ).…”

Section: Discussionmentioning

confidence: 99%

A retrospective study on the efficacy of the ERAS protocol in patients who underwent laparoscopic left and right colectomy surgeries

Zhao,

Jin,

Peng

et al. 2024

Front. Surg.

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ObjectiveRetrospective analysis and comparison of the effects of Enhanced Recovery After Surgery (ERAS) protocol for patients having left and right colectomy surgeries.MethodOut of the patients admitted to Chengdu Shang Jin Nan Fu Hospital and West China Hospital from December 2019 to December 2022, a total of 498 who met the inclusion criteria were selected, 255 with right colectomy(RC) and 243 with left colectomy (LC). Under the conditions of strict compliance with ERAS protocol, the relevant physical indexes of RC and LC, including postoperative rehabilitation (especially median post-operative stay) and complications (especially prolonged postoperative ileus, PPOI), were statistically analyzed and compared.ResultsIn terms of intraoperative variables, fluid doses were higher in the LC group than in the RC group (P < 0.05), and there was no significant difference between them in terms of operative time, blood loss, need for open surgery, peritoneal contamination, epidural catheter placement, or opioid use (P > 0.05). Compared with the RC group, the LC group had a higher intake of oral liquid at the second postoperative day (POD), and faster first flatulence (P < 0.05). 30 (11.76%) RC patients required nasogastric tube insertion, while only 3 (1.23%) patients in the LC group required the same (P < 0.05). Prolonged postoperative ileus (PPOI) occurred in 48 (18.82%) and 29 (11.93%) patients in the RC and LC groups, respectively (P < 0.05). No significant differences in terms of postoperative complications or length of hospital stay (LoS). stay were observed.ConclusionAs the location of colon cancer changes, the effectiveness of ERAS also varies. More personalized and precise ERAS protocols can reduce the incidence of postoperative complications and promote rapid recovery after surgery.

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Section: Discussionmentioning

confidence: 99%

A retrospective study on the efficacy of the ERAS protocol in patients who underwent laparoscopic left and right colectomy surgeries

Zhao,

Jin,

Peng

et al. 2024

Front. Surg.

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“…Fulfilling one of these conditions was considered an ERAS failure. 39 Postoperative complications were assessed according to the Clavien–Dindo classification complication grade: 40 grade I, not requiring surgical or radiologic intervention, for example, atrial fibrillation which can be treated with medications and pulmonary atelectasis requiring physiotherapy; grade II, requires other medications, transfusion, or parenteral nutrition; grade III, requires surgical, endoscopic, or radiologic treatment, for example, antibiotic treatment for pneumonia and urinary tract infection; grade IV, requiring IC/ICU treatment for life-threatening complications, for example, lung failure requiring intubation; and grade V, causes death. Patients with lung cancer and cardiovascular comorbidities who underwent 198 radical lung cancer operations with ERAS were categorized into an ERAS success group ( n = 152) and ERAS failure group ( n = 46).…”

Section: Methodsmentioning

confidence: 99%

Risk factors for enhanced recovery after surgery failure in patients undergoing lung cancer resection with concomitant cardiovascular disease: A single-center retrospective study

Sun,

Lu,

Zhang

et al. 2024

Asia-Pacific Journal of Oncology Nursing

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“…Abdominal drains should be placed for limited indications, including in the presence of gross bacterial contamination and inadequate source control (LoE D) The routine positioning of a peritoneal drain after elective major colorectal surgery has been demonstrated to be ineffective in preventing surgical complications and is not recommended [104]. Moreover, the presence of a drain has been identified as one of the main failure predictors of an enhanced recovery pathway, both in elective and emergency surgery [22,105]. Drain in emergency general surgery is justified by a clear rationale, in case of contaminated surgical field and intra-abdominal infections.…”

Section: Drainsmentioning

confidence: 99%

Enhanced perioperative care in emergency general surgery: the WSES position paper

Ceresoli,

Braga,

Zanini

et al. 2023

World J Emerg Surg

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Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients’ outcome. The key element of the enhanced perioperative care protocol is the multimodal and interdisciplinary approach targeted to the patient, focused on a holistic approach to reduce surgical stress and improve perioperative recovery. Enhanced perioperative care in emergency general surgery is still a debated topic with little evidence available. The present position paper illustrates the existing evidence about perioperative care in emergency surgery patients with a focus on each perioperative intervention in the preoperative, intraoperative and postoperative phase. For each item was proposed and approved a statement by the WSES collaborative group.

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The factors related to failure of Enhanced Recovery after Surgery (ERAS) in colon cancer surgery

Cited by 5 publications

References 35 publications

A retrospective study on the efficacy of the ERAS protocol in patients who underwent laparoscopic left and right colectomy surgeries

A retrospective study on the efficacy of the ERAS protocol in patients who underwent laparoscopic left and right colectomy surgeries

Risk factors for enhanced recovery after surgery failure in patients undergoing lung cancer resection with concomitant cardiovascular disease: A single-center retrospective study

Enhanced perioperative care in emergency general surgery: the WSES position paper

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