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November 9, 2020Journal of Laparoendoscopic & Advanced Surgical Techniques

Enhanced Recovery Program in Laparoscopic Colorectal Surgery: An Observational Controlled Trial

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Key result

An enhanced recovery program for laparoscopic colorectal surgery significantly reduced hospital length of stay (4 vs 7 days) and 30-day postoperative complications (P<0.001) compared to traditional care.

Why the study?

Most evidence for enhanced recovery programs in colorectal surgery relies on nonrandomized studies using historical controls or controls from different facilities.

Does a standardized enhanced recovery program reduce hospital length of stay in patients undergoing elective laparoscopic colorectal surgery?

Comparison

Standardized ERP vs traditional perioperative care

Design

Prospective observational controlled cohort study

Follow-up

30 days

Authors

STSimone TargaPanin (Italy)MPMattia PortinariOspedale Infermi di RiminiSASimona AscanelliUniversity of Ferrara

Discussion

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Implication

May support ERP evaluation in laparoscopic colorectal surgery; leaves open randomized confirmation before practice change.

Study Design

Type

Cohort (n=200)

Multicenter

No

Structured PICO

Does a standardized enhanced recovery program reduce hospital length of stay in patients undergoing elective laparoscopic colorectal surgery?

P
Population
200 patients aged ≤80 years undergoing elective laparoscopic colorectal resection, excluding those with ASA IV, metastatic disease, or inflammatory bowel disease.
E
Exposure
Standardized Enhanced Recovery Program (ERP)
C
Comparator
Traditional perioperative care
O
Outcome
Hospital length of stay (LoS)surrogate

Main Result

Absolute Event Rate: 4% vs 7%

Implementing an enhanced recovery program in laparoscopic colorectal surgery is feasible and significantly reduces hospital length of stay and postoperative complications compared to traditional care.

Cite This Study

Targa et al. (2020) conducted a cohort in Elective laparoscopic colorectal resection (n=200). Enhanced recovery program (ERP) vs. Traditional perioperative care was evaluated on Hospital length of stay (LoS). An enhanced recovery program for laparoscopic colorectal surgery significantly reduced hospital length of stay (4 vs 7 days) and 30-day postoperative complications (P<0.001) compared to traditional care.

synapsesocial.com/papers/6a9f577ba9209741c615d750https://doi.org/10.1089/lap.2020.0716
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Early implementation of Enhanced Recovery After Surgery (ERAS®) protocol – Compliance improves outcomes: A prospective cohort study2015 · 199 citations
  2. 2Management of patients in fast track surgery2001 · 800 citations
  3. 3Classification of Surgical Complications2004 · 31,663 citations
  4. 4Effectiveness of fast‐track rehabilitation <i>vs</i> conventional care in laparoscopic colorectal resection for elderly patients: a randomized trial2011 · 164 citations
  5. 5Enhanced Recovery Program in Colorectal Surgery: A Meta‐analysis of Randomized Controlled Trials2013 · 918 citations