ArticleWorld journal of surgery2016
Enhanced Recovery Pathway for Right and Left Colectomy: Comparison of Functional Recovery.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Risk Factors for Prolonged Postoperative Ileus in Colorectal Surgery: A Systematic Review and Meta-analysis.World journal of surgery · 2020Pooled it
- Association between ERAS compliance and postoperative outcomes after right colectomy for colon cancer: a single-center cohort study.BMC surgery · 2026Article
- Optimizing patient recovery: prospective study evaluating compliance and clinical outcomes of enhanced recovery protocols in ovarian cancer following cytoreductive surgery with HIPEC.Pleura and peritoneum · 2025Article
- Cost Analysis of Outpatient Colectomy in a Tertiary Center: A Projected Medico-Economic Evaluation.Health services insights · 2024Article
- Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERASWorld journal of surgery · 2023Review
- Critical Analysis of the Causes of In-Hospital Mortality following Colorectal Resection: A Queensland Audit of Surgical Mortality (QASM) Registry Study.World journal of surgery · 2022Article
- Bowel function recovery after laparoscopic transverse colectomy within an ERAS program: a comparison to right and left colectomy.Langenbeck's archives of surgery · 2021Article
- Variable Gut Function Recovery After Right vs. Left Colectomy May Be Due to Rectosigmoid Hyperactivity.Frontiers in physiology · 2021Article
- Are right-sided colectomies for neoplastic disease at increased risk of primary postoperative ileus compared to left-sided colectomies? A coarsened exact matched analysis.Surgical endoscopy · 2020Article
- Bowel function and quality of life after minimally invasive colectomy with D3 lymphadenectomy for right-sided colon adenocarcinoma.World journal of gastroenterology · 2020Article
- What are the risk factors of failure of enhanced recovery after right colectomy? Results of a prospective study on 140 consecutive cases.International journal of colorectal disease · 2020Article
- Patients' refusal as major limitation of early discharge after colorectal resection in an enhanced recovery program.Langenbeck's archives of surgery · 2020Article
- Impact of Adherence to the ERAS® Protocol on Short-term Outcomes after Bariatric Surgery.Obesity surgery · 2020Article
- A qualitative exploration of factors influencing medical staffs' decision-making around nutrition prescription after colorectal surgery.BMC health services research · 2019Article
- Colonic Electromechanical Abnormalities Underlying Post-operative Ileus: A Systematic and Critical Review.Journal of neurogastroenterology and motility · 2019Review
- Surgical teaching does not increase the risk of intraoperative adverse events.International journal of colorectal disease · 2018Article
- Protective loop ileostomy increases the risk for prolonged postoperative paralytic ileus after open oncologic rectal resection.International journal of colorectal disease · 2018Article
- Risk factors for postoperative ileus following elective laparoscopic right colectomy: a retrospective multicentric study.International journal of colorectal disease · 2018Article
- Article
- Application of an enhanced recovery pathway for ileostomy closure: a case-control trial with surprising results.Techniques in coloproctology · 2018Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhanced recovery (ERAS) guidelines do not differentiate between left- and right-sided colectomies, but differences in recovery have been reported for the two procedure types. We aimed to compare compliance with the ERAS protocol and outcomes after right versus left colectomy.
methodsBetween June 2011 and September 2014, all patients undergoing elective colonic resection were treated according to a standardized ERAS protocol and entered a prospective database. This retrospective analysis compared right and left colectomy regarding application of the ERAS pathway, bowel recovery, complications, and hospital stay.
resultsEighty-five patients with right colectomy matched well with 138 left-sided resections for baseline demographics. Overall compliance with the ERAS protocol was 76 % for right versus 77 % for left colectomy patients (p = 0.492). First flatus occurred at postoperative day 2 in both groups (p = 0.057); first stool was observed after a median of 3 (right) and 2 days (left), respectively (p = 0.189). Twenty patients (24 %) needed postoperative nasogastric tube after right colectomy compared to 11 patients (8 %) after left colectomy (p = 0.002). Overall complication rates were 49 and 37 % for right and left colectomy, respectively (p = 0.071). Median postoperative length of stay was 6 days (IQR 4-9) after right and 5 days (IQR 4-7.5) after left colectomy (p = 0.020).
conclusionOverall compliance with the protocol was equally high in both groups showing that ERAS protocol was applicable for right and left colectomy. Functional recovery however, tended to be slower after right colectomy, and postoperative ileus rate was significantly higher. More cautious early feeding after right colectomy should be considered.
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