The present systematic review suggests that ERPs in colorectal and pancreas surgery are associated with cost savings compared to conventional perioperative management .
Enhanced recovery programs ( ERPs ) have been shown to improve postoperative outcomes after abdominal surgery .
This study aim ed to review the current literature to assess if ERPs in colorectal , pancreas , and liver surgery induce cost savings .
Implementation of laparoscopic colectomy with fast-track care in an academic medical center: benefits of a fully ascended learning curve and specialty expertise.
BACKGROUND There are few data describing successful institutional " conversion " from open colectomy/st and ard care techniques to laparoscopic colectomy/fast-track care . PURPOSE To assess the benefits of transitioning an institution from open to laparoscopic colectomy with fast-track care while avoiding a learning curve . METHOD Twenty consecutive laparoscopic colorectal resections ( LCRs ) performed by a colorectal surgeon were compared with 20 matched open colorectal resections ( OCRs ) performed by general surgeons before the arrival of the colorectal surgeon . RESULTS Surgical procedures were as follows : sigmoidectomy : OCR 16 and LCR 11 ; right colectomy : OCR 3 and LCR 8 ; and total colectomy : OCR 1 and LCR 1 . The mean operative time for sigmoidectomy was 250 and 109 minutes for OCR and LCR , respectively , and for right colectomy 181 and 97 minutes for OCR and LCR , respectively ( P < .001 ) . Morbidity was OCR 45 % versus LCR 25 % . There was no mortality .  LCR showed significantly lower length of stay and direct cost ( 3.6 vs. 8.3 days ; 4,993 dollars vs. 11,383 dollars ; both P < .001 ) . CONCLUSIONS The data clearly show an institutional benefit for the implementation of specialty-based advanced laparoscopic procedures
The present systematic review suggests that ERPs in colorectal and pancreas surgery are associated with cost savings compared to conventional perioperative management .
Enhanced recovery programs ( ERPs ) have been shown to improve postoperative outcomes after abdominal surgery .
This study aim ed to review the current literature to assess if ERPs in colorectal , pancreas , and liver surgery induce cost savings .