Detailed evaluation of functional recovery following laparoscopic or open surgery for colorectal cancer within an enhanced recovery programme

Abstract

Within an enhanced recovery programme, patients undergoing laparoscopic surgery recovered more quickly than after open resection. Both approaches however, were associated with slow recovery despite a relatively short hospital stay.

Impact of a Diverting Stoma in an Enhanced Recovery Programme for Rectal Cancer

“…Our mortality rate, anastomotic leaks and overall mortality are similar to the ones stated in other literature series [15][16][17][22][23][24][25] and the current use of fast-track protocols is more than justified, taking into account the clinical advantages offered and, as evidenced by our series, the overall stay of patients, with a median of six days, which is practically half of that shown in a recent study conducted by the Asociació n Españ ola de Cirujanos 26 [Spanish Association of Surgeons].…”

Quality of Life after Laparoscopic and Open Resection of Colorectal Cancer

“…Polle et al [12], King et al [9], Eshuis et al [11] and Maartense et al [10] reported a similar HRQOL within the first 3 months after surgery. There was no difference in long-term HRQOL outcomes (≥1 year) in the studies of Guillou et al [1], Eshuis et al [11] and Maartense et al [10].…”

“…Some authors reported no substantial differences in postoperative HRQOL [1,9,10,11,12], whereas other authors demonstrated significantly improved HRQOL outcomes after laparoscopic colorectal resection [4,13,14,15,16]. One of the last systematic reviews on the topic also discussed reasons for insufficient data and heterogeneity of the studies [6].…”

Meta-analysis of Laparoscopic Versus Open Colorectal Surgery Within Fast-Track Perioperative Care

“…1), including 19 case-series studies and 7 nonrandomized controlled trials, leaving 4 randomized controlled trials. [17][18][19]26 One randomized controlled trial was excluded because no data were available for extraction to be used in the meta-analysis. 26 Finally, 3 randomized controlled trials were included for meta-analysis.…”

“…[17][18][19]26 One randomized controlled trial was excluded because no data were available for extraction to be used in the meta-analysis. 26 Finally, 3 randomized controlled trials were included for meta-analysis. [17][18][19] Characteristics of each trial are given in Table 1.…”