Reduced protocol compliance was the most frequently identified modifiable predictive factor for adverse LOS , morbidity and readmission .
Conclusion Protocol compliance is the most frequently reported predictive factor for outcomes of ERAS programmes following laparoscopic colorectal resection .
Reduced compliance increases LOS , morbidity and readmission to hospital .
The impact of compliance with individual ERAS protocol elements is insufficiently studied , and the lack of a st and ardised framework for evaluating ERAS programmes makes it difficult to draw definite conclusions about which factors exert the greatest impact on outcome after laparoscopic colorectal resection
Objective To perform a systematic review of published literature for the factors reported to predict outcomes of enhanced recovery after surgery ( ERAS ) programmes following  laparoscopic colorectal surgery .
Background ERAS programmes and the use of laparoscopy have been widely adopted in colorectal surgery bringing short-term patient benefit .
However , there is a minority of patients that do not benefit from these strategies and their identification is not well characterised .
The factors that underpin outcomes from ERAS programmes for laparoscopic patients are not understood .
Comparison of Early Mobilization and Diet Rehabilitation Program With Conventional Care After Laparoscopic Colon Surgery: A Prospective Randomized Controlled Trial
PURPOSE : Although laparoscopic surgery may permit earlier recovery compared with open surgery , no published r and omized controlled trial has investigated the benefit of a multimodal rehabilitation program after laparoscopic colonic resection . This study aim ed to evaluate the efficacy of a rehabilitation program after laparoscopic colon surgery in the context of a r and omized controlled trial . METHODS : Between September 2007 and October 2009 , 100 patients who had received laparoscopic colon surgery  were selected for the study and r and omly assigned on a 1:1 basis to a rehabilitation program group with early mobilization and diet ( n = 46 ) or conventional care group ( n = 54 ) . The rehabilitation program group received early oral feeding , early ambulation , and regular laxative . The primary outcome was recovery time , measured with criteria of tolerable diet for 24 hours , safe ambulation , analgesic-free , and afebrile status without major complications . Secondary outcomes were postoperative hospital stay , complications , quality of life by Short Form 36 , pain by visual analog scale , and readmission . This study was registered ( ID number NCT00606944 , http://register . clinical trials.gov ) . RESULTS : Recovery time was shorter in the rehabilitation program group than in the conventional care group ( median ( interquartile range ) , 4 ( 3–5 ) d vs 6 ( 5–7 ) d , respectively ; P < .0001 ) . There was no difference in postoperative hospital stay between the 2 groups ( rehabilitation program group , 7 ( 6–8 ) d vs conventional care group , 8 ( 7–9 ) d ; P = .065 ) . There was no difference in complication rates between the rehabilitation program group and conventional care group ( 10.9 % vs 20.4 % , respectively ; P = .136 ) . Quality of life and pain were similar in both groups . There were no readmissions or mortality . CONCLUSIONS : A rehabilitation program with early mobilization and diet after laparoscopic colon surgery results in reduced recovery time without increased complications . These results suggest that a multimodal rehabilitation program may increase the short-term benefits after laparoscopic colon surgery
Reduced protocol compliance was the most frequently identified modifiable predictive factor for adverse LOS , morbidity and readmission .
Conclusion Protocol compliance is the most frequently reported predictive factor for outcomes of ERAS programmes following laparoscopic colorectal resection .
Reduced compliance increases LOS , morbidity and readmission to hospital .
The impact of compliance with individual ERAS protocol elements is insufficiently studied , and the lack of a st and ardised framework for evaluating ERAS programmes makes it difficult to draw definite conclusions about which factors exert the greatest impact on outcome after laparoscopic colorectal resection
Objective To perform a systematic review of published literature for the factors reported to predict outcomes of enhanced recovery after surgery ( ERAS ) programmes following  laparoscopic colorectal surgery .
Background ERAS programmes and the use of laparoscopy have been widely adopted in colorectal surgery bringing short-term patient benefit .
However , there is a minority of patients that do not benefit from these strategies and their identification is not well characterised .
The factors that underpin outcomes from ERAS programmes for laparoscopic patients are not understood .