Adherence to the enhanced recovery after surgery (ERAS) protocol and outcomes after colorectal cancer surgery in North Estonia Medical Centre

Härma, Eve; Seire, Indrek; Laas, Anni; Kütner, Sander

doi:10.1016/j.clnesp.2017.04.081

“…The best results are received when the level of cooperation between all who are concerned is good, and can also alleviate the patient's anxiety, fear and stress, which further improves patient compliance, so that the study can be carried out smoothly. Further data on more than 900 consecutive colorectal cancer patients highlighted the import role played by compliance in ERAS: the better compliance, the better the results in terms of complications, initial and total hospital stays, and re-admission [11,22]. This study also con rmed the view that better compliance not only reduces overall complications, emphasizing the importance of compliance.…”

Section: Discussionsupporting

confidence: 62%

“…Early activity and early feeding are key factors in ERAS. Several studies on open colon surgery have observed a substantial reduction in the incidence of postoperative complications and have considered uid restriction[8], functional exometrophic [9], and preoperative carbohydrate intake [10,11] as key factors of success. Previous studies have found that early oral feeding can reduce stress, energy consumption, and complications such as vomiting, nausea, or bowel paralysis [12,13].…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Enhanced recovery after laparoscopic cholecystectomy surgery: a single-center randomized controlled study

Li

¹

,

Chen²,

Wang

³

et al. 2022

Preprint

0

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Background: The role of Eintraoperative joint organ removal or transit abdominal surgery recovery after surgery (ERAS) in reducing hospital stay time and perioperative hospitalization costs have been proven. However, most studies have been carried out in areas rich in medical resources. In this study, we evaluated the safety and efficacy of ERAS compared with traditional perioperative period care for laparoscopic cholecystectomy (LC) in areas poor in medical resources in China.Methods: A randomized controlled trial on laparoscopic cholecystectomy was conducted at The People's Hospital of Fengqing from July 2020 to March 2021. Patients were randomly divided into an ERAS group and a traditional care group. The main outcome was the length of hospital stay after surgery. The secondary outcomes included hospitalization costs and visual analogue scale (VAS) scores for postoperative pain, first exhaust time, and first semi-liquid diet time after surgery. The ERAS group was provided with perioperative education, nutritional support, preoperative 2 h oral carbohydrates, restricted rehydration, intraoperative insulation, no drainage tubes, wound hemp, early mobilization postoperative nausea and vomiting (PONV) prevention and multi-modal analgesia, early activity.Results: The study was conducted on a total of 140 patients with 70 patients each in the ERAS group and traditional care groups. In the ERAS group, The length of hospital stay after surgery was shorter (4.06 vs.4.61 days, P<0.05), the average hospitalization cost (CNY 7900 vs. 8470, P<0.05),and VAS score (3.10 vs. 3.57 points, compared to the eraser group P<0.001) was lower, the first exhaust time was shorter (12.2 vs. 14.2 hours, P<0.001), the first semi-liquid diet time after surgery was shorter(14.5 vs. 16.8 hours, P<0.001), and the incidence of major postoperative complications was lower (bile leakage, postoperative bleeding, bile duct damage) (0% vs. 12.9%, P<0.05). No significant difference in surgery time (57.8 vs. 54.6 min, P>0.05) was observed between the two groups.Conclusion: Even in areas poor in medical resources in China, the use of the ERAS concept for LC surgery can reduce the length of hospital stay, cut down the cost of hospitalization, and lessen the pain of patients after surgery and accelerate postoperative recovery.

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“…The best results are received when the level of cooperation between all who are concerned is good, and can also alleviate the patient's anxiety, fear and stress, which further improves patient compliance, so that the study can be carried out smoothly. Further data on more than 900 consecutive colorectal cancer patients highlighted the import role played by compliance in ERAS: the better compliance, the better the results in terms of complications, initial and total hospital stays, and re-admission [11,22]. This study also con rmed the view that better compliance not only reduces overall complications, emphasizing the importance of compliance.…”

Section: Table 3 Comparison Of Postoperative Rehabilitation and Econo...mentioning

confidence: 52%

“…Early activity and early feeding are key factors in ERAS. Several studies on open colon surgery have observed a substantial reduction in the incidence of postoperative complications and have considered uid restriction[8], functional exometrophic [9], and preoperative carbohydrate intake [10,11] as key factors of success. Previous studies have found that early oral feeding can reduce stress, energy consumption, and complications such as vomiting, nausea, or bowel paralysis [12,13].…”

Section: Table 3 Comparison Of Postoperative Rehabilitation and Econo...mentioning

confidence: 99%

Enhanced recovery after laparoscopic cholecystectomy: A single-center experience

Li

¹

,

Chen²,

Wang

³

et al. 2023

Preprint

1

0

View full text Add to dashboard Cite

Background: The role of Eintraoperative joint organ removal or transit abdominal surgery recovery after surgery (ERAS) in reducing hospital stay time and perioperative hospitalization costs have been proven. However, most studies have been carried out in areas rich in medical resources. In this study, we evaluated the safety and efficacy of ERAS compared with traditional perioperative period care for laparoscopic cholecystectomy (LC) in areas poor in medical resources in China. Methods: A randomized controlled trial on laparoscopic cholecystectomy was conducted at The People's Hospital of Fengqing from July 2020 to March 2021. Patients were randomly divided into an ERAS group and a traditional care group. The main outcome was the length of hospital stay after surgery. The secondary outcomes included hospitalization costs and visual analogue scale (VAS) scores for postoperative pain, first exhaust time, and first semi-liquid diet time after surgery. The ERAS group was provided with perioperative education, nutritional support, preoperative 2 h oral carbohydrates, restricted rehydration, intraoperative insulation, no drainage tubes, wound hemp, early mobilization postoperative nausea and vomiting (PONV) prevention and multi-modal analgesia, early activity. Results: The study was conducted on a total of 140 patients with 70 patients each in the ERAS group and traditional care groups. In the ERAS group, The length of hospital stay after surgery was shorter (4.06 vs.4.61 days, P<0.05), the average hospitalization cost (CNY 7900 vs. 8470, P<0.05),and VAS score (3.10 vs. 3.57 points, compared to the eraser group P<0.001) was lower, the first exhaust time was shorter (12.2 vs. 14.2 hours, P<0.001), the first semi-liquid diet time after surgery was shorter(14.5 vs. 16.8 hours, P<0.001), and the incidence of major postoperative complications was lower (bile leakage, postoperative bleeding, bile duct damage) (0% vs. 12.9%, P<0.05). No significant difference in surgery time (57.8 vs. 54.6 min, P>0.05) was observed between the two groups. Conclusion:Even in areas poor in medical resources in China, the use of the ERAS concept for LC surgery can reduce the length of hospital stay, cut down the cost of hospitalization, and lessen the pain of patients after surgery and accelerate postoperative recovery.

show abstract

“…Early activity and early feeding are key factors in ERAS. Several studies on open colon surgery have observed a substantial reduction in the incidence of postoperative complications and have considered fluid restriction [8], functional exometrophic [9], and preoperative carbohydrate intake [10,11] as key factors of success.…”

Section: Discussionmentioning

confidence: 99%

Enhanced recovery after laparoscopic cholecystectomy: A single-center experience

CHEN,

WANG,

LI

et al. 2023

MRHK

0

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Objective:The role of Eintraoperative joint organ removal or transit abdominal surgery recovery after surgery (ERAS) in reducing hospital stay time and perioperative hospitalization costs have been proven. However, most studies have been carried out in areas rich in medical resources. In this study, we evaluated the safety and efficacy of ERAS compared with traditional perioperative period care for laparoscopic cholecystectomy(LC) in areas poor in medical resources in China. Methods:A randomized controlled trial on laparoscopic cholecystectomy was conducted at The People's Hospital ofFengqing from July 2020 to March 2021. Patients were randomly divided into an ERAS group and a traditional care group. The main outcome was the length of hospital stay after surgery. The secondary outcomes included hospitalization costs and visual analogue scale (VAS) scores for postoperative pain, first exhaust time, and first semi-liquid diet time after surgery. The ERAS group was provided with perioperative education, nutritional support, preoperative 2 h oral carbohydrates, restricted rehydration, intraoperative insulation, no drainage tubes, wound hemp, early mobilization postoperative nausea and vomiting (PONV) prevention and multi-modal analgesia, early activity. Results: The study was conducted on a total of 140 patients with 70 patients each in the ERAS group and traditional care groups. In the ERAS group, Thelength of hospital stay after surgery was shorter (4.06 vs.4.61 days, P<0.05), the average hospitalization cost (CNY 7900 vs. 8470, P<0.05),and VAS score (3.10 vs. 3.57 points, compared to the eraser group P<0.001) was lower, the first exhaust time was shorter (12.2 vs. 14.2 hours, P<0.001),thefirst semi-liquid diet time after surgery was shorter(14.5 vs. 16.8 hours, P<0.001), and the incidence of major postoperative complications was lower (bile leakage, postoperative bleeding, bile duct damage) (0% vs. 12.9%, P<0.05). No significant difference in surgery time (57.8 vs. 54.6 min, P>0.05) was observed between the two groups. Conclusion: Even in areas poor in medical resources in China, the use of the ERAS concept for LC surgery can reduce the length of hospital stay, cut down the cost of hospitalization, and lessen the pain of patients after surgery and accelerate postoperative recovery.

show abstract

Adherence to the enhanced recovery after surgery (ERAS) protocol and outcomes after colorectal cancer surgery in North Estonia Medical Centre

Cited by 4 publications

References 0 publications

Safety and Efficacy of Enhanced recovery after laparoscopic cholecystectomy surgery: a single-center randomized controlled study

Safety and Efficacy of Enhanced recovery after laparoscopic cholecystectomy surgery: a single-center randomized controlled study

Enhanced recovery after laparoscopic cholecystectomy: A single-center experience

Enhanced recovery after laparoscopic cholecystectomy: A single-center experience

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