ArticleInternational journal of colorectal disease2014
Enhanced recovery after elective colorectal resection outside a strict fast-track protocol. A single centre experience.
Article in International journal of colorectal disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors predicting outcome from enhanced recovery programmes in laparoscopic colorectal surgery: a systematic review.Surgical endoscopy · 2017Pooled it
- The effects of fast-track surgery on inflammation and immunity in patients undergoing colorectal surgery.International journal of colorectal disease · 2016Trial
- Enhanced recovery after surgery in liver transplantation: Challenges and feasibility.World journal of transplantation · 2022Article
- Does Implementation of Enhanced Recovery after Surgery (ERAS) Protocols in Colorectal Surgery Improve Patient Outcomes?Clinics in colon and rectal surgery · 2019Review
- 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
- ERAS protocol in laparoscopic surgery for colonic versus rectal carcinoma: are there differences in short-term outcomes?Medical oncology (Northwood, London, England) · 2016Article
- Nonstrict and individual enhanced recovery after surgery (ERAS) in partial hepatectomy.SpringerPlus · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOptimising the management of hospitalised patients is a major concern. In colorectal surgery, the concept of enhanced recovery has been popularised by means of "fast-track" protocols, aiming at patient's discharge on the second postoperative day. Nevertheless, a strict fast-track protocol has several limitations. It is very demanding for the patient and therefore applicable only to a limited number of patients.
aimIn order to optimise, in every aspect, the postoperative recovery of each patient undergoing an elective colorectal resection inside our institution, we set up a "soft" enhanced recovery programme. MATERIAL-
methodsA retrospective analysis was conducted in 92 patients evaluating the respective impact of protocol application throughout the duration of the hospital stay.
resultsWhen all the required measures of our protocol were correctly implemented, the median discharge day was postoperative day 3 (range 3-5 days). On the contrary, when deviations occurred, they resulted in longer hospital stay (p < 0.001). Patients operated by laparoscopy were discharged earlier than patients operated by laparotomy (p < 0.001). The use of nasogastric tube and postoperative drainage prolonged significantly the length of stay (p = 0.001 and p < 0.001 respectively). When the urinary catheter was not removed or oral feeding not resumed on postoperative day 1, the patients were discharged later (p < 0.001).
conclusionsThere are substantial possibilities of optimising the recovery process after an elective colorectal resection, outside a strict fast-track protocol.
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