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

Kamel, Reham; Abdel‐Wahab, May; Abdalazem, E.S.; gad, A.M.

doi:10.21608/bjas.2021.188695

Cited by 3 publications

(21 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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.…”

Section: Risk Of Biasmentioning

confidence: 90%

“…[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.…”

Section: Risk Of Biasmentioning

confidence: 90%

“…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.…”

Section: Lc (Lap Cholecystectomy-conventional) Le (Laparoscopic Chole...mentioning

confidence: 99%

“…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.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Nair¹,

Al-Aamri²,

Borkar

et al. 2023

Sultan Qaboos Univ Med J

View full text Add to dashboard Cite

Many researchers implemented enhanced recovery after surgery (ERAS) pathways for laparoscopic cholecystectomy (LC) and found it effective over conventional care. This review investigates the efficacy and safety of ERAS pathways implemented for LC over conventional practices. We searched PubMed/Medline, SCOPUS, CENTRAL, Ovid, and clinicaltrials.gov using relevant keywords to identify studies in which ERAS pathways in LC were compared with conventional pathways. The primary outcome was length of stay (LOS) from the day of surgery and the secondary outcomes were comparison of pain scores, postoperative nausea/vomiting (PONV), readmissions (within 30-days after surgery), complications (medical and surgical), time to first flatus, and cost. Out of 590 articles identified, 6 studies (n=1489 patients) fulfilled inclusion criteria and were used for qualitative and quantitative analysis. On pooled analysis, the LOS, time to first flatus, PONV, pain scores were significantly less in ERAS group than the conventional one. However, readmission and complications were comparable in both groups. Keywords: Cholecystectomy; Enhanced recovery After Surgery; Fast-track surgery; Laparoscopy; Meta-analysis; Perioperative care; Systematic review.

show abstract

Section: Risk Of Biasmentioning

confidence: 90%

Section: Risk Of Biasmentioning

confidence: 90%

“…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.…”

Section: Lc (Lap Cholecystectomy-conventional) Le (Laparoscopic Chole...mentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Nair¹,

Al-Aamri²,

Borkar

et al. 2023

Sultan Qaboos Univ Med J

View full text Add to dashboard Cite

show abstract

Implementation and outcomes of an enhanced recovery after surgery pathway for laparoscopic cholecystectomy in East and Central Africa: A prospective non‐randomized controlled trial in Rwanda's Tertiary Teaching Hospital

Nyundo,

Kayondo,

Gasakure

et al. 2024

World j. surg.

View full text Add to dashboard Cite

BackgroundEnhanced recovery after surgery (ERAS) programs have demonstrated efficacy in optimizing perioperative care and improving patient outcomes in various surgeries. However, their implementation and outcomes in resource‐limited settings remain underexplored. This study aimed to assess the implementation of an ERAS protocol for laparoscopic cholecystectomy in such a setting.MethodsThis prospective non‐randomized controlled trial involved 100 patients undergoing laparoscopic cholecystectomy at the University Teaching Hospital of Kigali, Rwanda. The first 50 patients on the ERAS pathway were prospectively evaluated and retrospectively compared to the last 50 patients operated on before ERAS implementation. Data on demographics, preoperative information, intraoperative compliance, postoperative events, and patient feedback were collected and analyzed.ResultsERAS implementation resulted in a significant reduction in hospital length of stay (LOS) (p < 0.001) without increase in complications. Compliance with ERAS principles, including preoperative education and perioperative management, was more than 90%. ERAS also reduced costs due to quicker recovery and shorter hospital LOS.ConclusionThe implementation of ERAS for laparoscopic cholecystectomy in a limited‐resource setting is feasible and safe, suggesting the possibility of its potential adoption in other abdominal procedures. A high level of adherence to the ERAS pathway can be achieved with effective patient education and the dedication of healthcare providers.

show abstract

Enhanced Recovery After Surgery versus Conventional Care in Cholecystectomy: A Systematic Review and Meta-Analysis

Qin,

Gou,

Zhang

et al. 2024

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

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

Cited by 3 publications

References 3 publications

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

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

Implementation and outcomes of an enhanced recovery after surgery pathway for laparoscopic cholecystectomy in East and Central Africa: A prospective non‐randomized controlled trial in Rwanda's Tertiary Teaching Hospital

Enhanced Recovery After Surgery versus Conventional Care in Cholecystectomy: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About