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Enhanced recovery program in laparoscopic colectomy for cancer
Authors
AJ Senagore
BF Levy
+39 more
BG Bradshaw
CJ Walter
CK Khoo
Clinical Outcomes of Surgical Therapy (COST) Study Group
CP Delaney
DG Jayne
DW Wilmore
GN Patel
H Kehlet
H Kehlet
H Kehlet
H Kehlet
J Neudecker
J Nygren
J Wind
J Wind
JA Grass
Jensen T. C. Poon
JM Maessen
Joe K. M. Fan
JT Poon
JT Poon
L Bardram
L Basse
L Basse
L Basse
MS Vlug
NS Abraham
Oswens S. H. Lo
PJ Guillou
PJ Hewett
PM King
R Veldkamp
RJ Fotiadis
RJ Moraca
S Ishiguro
W Raue
Wai Lun Law
WL Law
Publication date
1 January 2010
Publisher
Springer-Verlag
Doi
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on
PubMed
Abstract
Introduction: Both laparoscopic colectomy and application of enhanced recovery program (ERP) in open colectomy have been demonstrated to enable early recovery and to shorten hospital stay. This study evaluated the impact of ERP on results of laparoscopic colectomy and comparison was made with the outcomes of patients prior to the application of ERP. Methods: An ERP was implemented in the authors' center in December 2006. Short-term outcomes of consecutive 84 patients who underwent laparoscopic colonic cancer resection 23 months before (control group) and 96 patients who were operated within 13 months; after application of ERP (ERP group) were compared. Results: Between the ERP and control groups, there was no statistical difference in patient characteristics, pathology, operating time, blood loss, conversion rate or complications. Compared to the control group, patients in the ERP group had earlier passage of flatus [2 (range: 1-5) versus 2 (range: 1-4) days after operation respectively; p∈=∈0.03)] and a lower incidence of prolonged post-operative ileus (6% versus 0 respectively; p∈=∈0.02). There was no difference in the hospital stay between the two groups [4 (range: 2-34) days in control group and 4 (range: 2-23) days in ERP group; p∈=∈0.4)]. The re-admission rate was also similar (7% in control group and 5% in ERP group; p∈=∈0.59). Conclusions: In laparoscopic colectomy for cancer, application of ERP was associated with no increase in complication rate but significant improvement of gastrointestinal function. ERP further hastened patient recovery but resulted in no difference in hospital stay. © 2010 The Author(s).published_or_final_versionSpringer Open Choice, 31 May 201
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oai:hub.hku.hk:10722/133822
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info:doi/10.1007%2Fs00384-010-...
Last time updated on 01/04/2019