ArticleSurgical endoscopy2013
The safety of a "fast-track" program after laparoscopic colorectal surgery is comparable in older patients as in younger patients.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Enhanced recovery after surgery protocols following emergency intra-abdominal surgery: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- A systematic review of the intervention components, adherence and outcomes of enhanced recovery programmes in older patients undergoing elective colorectal surgery.BMC geriatrics · 2019Pooled it
- Application of enhanced recovery after gastric cancer surgery: An updated meta-analysis.World journal of gastroenterology · 2018Pooled it
- Feasibility of Fast-Track Surgery in Elderly Patients with Gastric Cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Trial
- Enhanced Recovery After Surgery Protocol in Transoral Robotic Surgery: A Case-Control Study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026Article
- Comparison of LNR- and LODDS-based predictive models for prognosis in non-elderly patients with locally advanced rectal cancer undergoing neoadjuvant therapy.International journal of colorectal disease · 2025Article
- Distinct clinical characteristics in stage III rectal cancer among different age groups and treatment outcomes after neoadjuvant chemoradiotherapy.Therapeutic advances in medical oncology · 2024Article
- Enhanced recovery after colorectal surgery is a safe and effective pathway for older patients: a pooling up analysis.International journal of colorectal disease · 2023Article
- Multidisciplinary management of elderly patients with rectal cancer: recommendations from the SICG (Italian Society of Geriatric Surgery), SIFIPAC (Italian Society of Surgical Pathophysiology), SICE (Italian Society of Endoscopic Surgery and new technologies), and the WSES (World Society of Emergency Surgery) International Consensus Project.World journal of emergency surgery : WJES · 2021Article
- Transition from hospital to home after elective colorectal surgery performed in an enhanced recovery program: An integrative review.Nursing open · 2021Review
- Age is an independent risk factor for increased morbidity in elective colorectal cancer surgery despite an ERAS protocol.Langenbeck's archives of surgery · 2020Article
- Enhanced recovery after surgery.Journal of anaesthesiology, clinical pharmacology · 2019Article
- Applying Enhanced Recovery Pathways to Unique Patient Populations.Clinics in colon and rectal surgery · 2019Review
- Enhanced Recovery Program for Colorectal Surgery: a Focus on Elderly Patients Over 75 Years Old.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Michigan Appropriate Perioperative (MAP) criteria for urinary catheter use in common general and orthopaedic surgeries: results obtained using the RAND/UCLA Appropriateness Method.BMJ quality & safety · 2019Article
- Colorectal cancer surgery in octogenarians.Turkish journal of surgery · 2018Article
- Short-term outcomes and benefits of ERAS program in elderly patients undergoing colorectal surgery: a case-matched study compared to conventional care.International journal of colorectal disease · 2018Article
- Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery.Medical oncology (Northwood, London, England) · 2018Review
- Enhanced recovery pathway in elderly patients undergoing colorectal surgery: is there an effect of increasing ages? Results from the perioperative Italian Society Registry.Updates in surgery · 2018Observational
- Enhanced Recovery Program in High-Risk Patients Undergoing Colorectal Surgery: Results from the PeriOperative Italian Society Registry.World journal of surgery · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFast-track protocols, introduced in the late 1990 s, have been applied in several surgical fields, particularly for colorectal surgery. However, currently many surgical patients are elderly, and discussion about the application of such programs for elderly patients is lacking. The present study was designed to assess the safety of application of a fast-track program after laparoscopic colorectal surgery in elderly patients.
methodsFrom August 2009 to January 2011, we prospectively collected data from patients who underwent laparoscopic colorectal surgery with a perioperative fast-track program. The data of patients older and younger than 70 years were compared.
resultsOf a total of 337 patients, the group of patients older than 70 years (OG) totaled 87 (25.8 %) and the younger group (YG) totaled 250 (74.2 %). Ten patients (11.5 %) were excluded in the OG and 24 (9.6 %) in the YG. There were no differences in gender, history of previous surgeries, body mass index, type of operation, operative time, or blood loss between groups. Age (74.8 vs. 56.7 years, p < 0.001), presence of comorbidities (70.1 vs. 44.7 %, p < 0.001), and ASA score (I:II:III, 33.8:57.1:9.1 vs. 60.6:33.2:6.2 %, p < 0.001) were significantly different between the two groups. Postoperative course did not show differences, including return of flatus, stool passage, advancement of diet, removal of urinary catheter, length of usage of IV antibiotics, complications, and length of postoperative stay. Emergency department visits or readmission within a month after discharge were more frequent in the OG (11.7 %) than the YG (4 %; p = 0.013).
conclusionsFast-track after laparoscopic colorectal surgery can be safely applied in carefully selected elderly patients older than age 70 years. Physicians should keep in mind complications that may present after discharge and should actively educate patients about them.
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