Enhanced recovery programme following laparoscopic colorectal resection for elderly patients

WG Zeng, MJ Liu, ZX Zhou, ZJ Wang - ANZ Journal of Surgery, 2018 - Wiley Online Library
WG Zeng, MJ Liu, ZX Zhou, ZJ Wang
ANZ Journal of Surgery, 2018Wiley Online Library
Background The aim of this study was to investigate the feasibility and safety of an
enhanced recovery programme (ERP) in patients aged≥ 75 years who undergo
laparoscopic surgery for colorectal cancer. Methods Patients were divided into two groups
according to perioperative management: the ERP group (Group A, n= 94) and the
conventional perioperative care group (Group B, n= 157). The postoperative outcomes were
compared between two groups. Results There were no differences in terms of age, gender …
Background
The aim of this study was to investigate the feasibility and safety of an enhanced recovery programme (ERP) in patients aged ≥75 years who undergo laparoscopic surgery for colorectal cancer.
Methods
Patients were divided into two groups according to perioperative management: the ERP group (Group A, n = 94) and the conventional perioperative care group (Group B, n = 157). The postoperative outcomes were compared between two groups.
Results
There were no differences in terms of age, gender, American Society of Anesthesiologists score, operative time or blood loss between two groups. Postoperative return of gastrointestinal function was significantly faster in Group A compared to Group B, including time to first flatus (2 versus 3 days, P < 0.001), first stool (3 versus 4 days, P = 0.001) and oral intake (1 versus 4 days, P < 0.001). Group A was associated with lower overall postoperative complication rate (26.6% versus 44.6%, P = 0.004) and general complication rate (14.9% versus 31.2%, P = 0.004). The median postoperative hospital stay was 6 days in Group A and 8 days in Group B (P < 0.001), respectively.
Conclusions
ERP following laparoscopic colorectal resection for elderly patients is associated with faster postoperative recovery, shorter postoperative hospital stay and fewer complications compared with conventional perioperative care.
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