Other outcome parameters were unsuitable for meta- analysis , but seemed to favour ERAS .
Analysis shows a reduction in overall complications , but major complications were not reduced .
Length of stay was reduced significantly .
We state that ERAS seems safe , but the quality of trials and lack of sufficient other outcome parameters do not justify implementation of ERAS as the st and ard of care .
Within ERAS protocol s included , no answer regarding the role for minimally invasive surgery ( i.e. laparoscopy ) was found .
BACKGROUND In recent years the Enhanced Recovery after Surgery ( ERAS ) postoperative pathway in (ileo-)colorectal surgery , aim ing at improving perioperative care and decreasing postoperative complications , has become more common .
OBJECTIVES We investigated the effectiveness and safety of the ERAS multimodal strategy , compared to conventional care after (ileo-)colorectal surgery .
The primary research question was whether ERAS protocol s lead to less morbidity and secondary whether length of stay was reduced .
[Perioperative fast track programs enhance the postoperative recovery after rectal carcinoma resection].
OBJECTIVE To evaluate the effect of the fast track programs ( FT ) on the postoperative recovery of patients with rectum carcinoma after rectal cancer resection . METHODS Eighty-three patients , undergone elective rectal carcinoma resection in our hospital , were r and omly divided into two groups . FT group ( 44 cases ) received the perioperative FT programs care , including bowel preparation reduction , preoperative normal intake , early removal of the nasogastric tube and bladder catheter , early postoperative feeding , early mobilization , and no routine drainage . Control group ( 39 cases ) received the conventional program care . The postoperative hospital stay , surgical complications and readmission rate within 30 days postoperatively were compared between the two groups . RESULTS The data of two groups such as gender , surgical procedures , complications , TNM stage of tumor , age , operation time and intra-operative blood loss were similar . The mean postoperative hospital stay in FT group was significantly shorter than that in control group [ ( 4.7+/-2.6 ) d vs ( 8.9+/-2.8 ) d ] ( P<0.001 ) . The surgical complications within 30 days postoperatively in FT group were significantly less than those in control group ( P<0.05 ) . The difference of readmission rate was not significant between the two groups ( P=0.326 ) . CONCLUSION The colorectal surgical fast track programs applied to the perioperative period care of rectal carcinoma resection can decrease the hospital stay and surgical complications with no obvious change in readmission rate , so the postoperative recovery of patients with rectal carcinoma resection can be improved
Other outcome parameters were unsuitable for meta- analysis , but seemed to favour ERAS .
Analysis shows a reduction in overall complications , but major complications were not reduced .
Length of stay was reduced significantly .
We state that ERAS seems safe , but the quality of trials and lack of sufficient other outcome parameters do not justify implementation of ERAS as the st and ard of care .
Within ERAS protocol s included , no answer regarding the role for minimally invasive surgery ( i.e. laparoscopy ) was found .
BACKGROUND In recent years the Enhanced Recovery after Surgery ( ERAS ) postoperative pathway in (ileo-)colorectal surgery , aim ing at improving perioperative care and decreasing postoperative complications , has become more common .
OBJECTIVES We investigated the effectiveness and safety of the ERAS multimodal strategy , compared to conventional care after (ileo-)colorectal surgery .
The primary research question was whether ERAS protocol s lead to less morbidity and secondary whether length of stay was reduced .