The present systematic review shows that , with the exception of laparoscopic surgery , objective evidence of the effect of individual components of ERAS protocol s in reducing the stress response following colorectal surgery is limited
Abstract Enhanced Recovery or Fast Track Recovery after Surgery protocol s ( ERAS ) have significantly changed perioperative care following colorectal surgery and are promoted as reducing the stress response to surgery .
Postoperative mortality and morbidity in French patients undergoing colorectal surgery: results of a prospective multicenter study.
HYPOTHESIS Better knowledge of independent risk factors might decrease mortality and morbidity rates following colorectal surgery . DESIGN Prospect i ve multicenter study . INTERVENTIONS From June to September 2002 , consecutive patients undergoing open or laparoscopic surgery ( electively or on an emergent basis ) for colorectal cancers or diverticular disease were prospect ively included . Exclusion criteria were colectomy for other causes ( eg , inflammatory bowel diseases , benign polyps ) . The structured sheet of data collection included more than 200 items on all perioperative data concerning the patient , the disease , and the operating surgeons . Postoperative mortality and morbidity were defined as in-hospital death and complications . RESULTS Among 1421 patients , the in-hospital death rate was 3.4 % and the overall  morbidity  rate was 35 % . Four independent preoperative risk factors of mortality were found : emergency surgery , loss of more than 10 % of weight , neurological comorbidity , and age older than 70 years . Six independent risk factors of morbidity were found : age older than 70 years , neurologic comorbidity , hypoalbuminemia , cardiorespiratory comorbidity , long duration of operation , and peritoneal contamination . CONCLUSION Colorectal resection in France is associated with a 3.4 % mortality rate and a 35 % morbidity rate . Knowledge of the risk factors could help surgeons manage cases
The present systematic review shows that , with the exception of laparoscopic surgery , objective evidence of the effect of individual components of ERAS protocol s in reducing the stress response following colorectal surgery is limited
Abstract Enhanced Recovery or Fast Track Recovery after Surgery protocol s ( ERAS ) have significantly changed perioperative care following colorectal surgery and are promoted as reducing the stress response to surgery .