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International Journal of Colorectal Disease

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Open Access 01-01-2011 | Original Article

Enhanced recovery program in laparoscopic colectomy for cancer

Authors: Jensen T. C. Poon, Joe K. M. Fan, Oswens S. H. Lo, Wai Lun Law

Published in: International Journal of Colorectal Disease | Issue 1/2011

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.

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Title: Enhanced recovery program in laparoscopic colectomy for cancer
Authors: Jensen T. C. Poon
Joe K. M. Fan
Oswens S. H. Lo
Wai Lun Law
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 1/2011
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-010-1059-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Enhanced recovery program in laparoscopic colectomy for cancer

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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