The combined colorectal surgery group included 78 male and female patients total with a mean age of 75 years. The aim of this study was to measure the hospital stay and return to full activity following laparoscopic colorectal surgery and compare this with laparoscopic cholecystectomy and laparoscopic inguinal hernia repair.
The enhanced recovery patient information leaflets prepare the patient for their colorectal surgery, and include information about what to expect after the operation. We compared clinicopathologic factors, surgical factors, and outcomes of patients who underwent extended hepatectomy defined as resection of more than two sections for HCC, before and after the introduction of an ERAS program.
To evaluate the effects of implementing an "enhanced recovery after surgery" ERAS program on the feasibility, safety, and effectiveness of extensive and potentially curative liver resection for hepatocellular carcinoma HCC.
Following laparoscopic colorectal surgery, patients can be expected to return to their usual activities within a week after discharge from the hospital and less than 2 weeks from surgery.
A comparison was made by investigating 4 operative groups: Many patients either did not work or were elderly, and therefore the time to return to work was not used as an end point. Post discharge information was collected by telephone interview. The ERAS program was feasible and effective for patients with chronic liver disease undergoing extended liver resection for HCC, because it allowed earlier oral dietary intake and promoted faster postoperative recovery.
The median hospital stay following laparoscopic colorectal resection was 7 days, while in the cholecystectomy and hernia group it was 1 day.
Early return to activity is to be expected but has not been quantified. One death was secondary to an anastomotic leak and sepsis with multi-organ failure, and 2 occurred following a myocardial infarction. In February we developed an Enhanced Recovery Programme for patients undergoing rectal resections.
This may include minor discomfort and the use of simple analgesic medication. This review was performed to measure the hospital stay and return to full activity following totally laparoscopic colorectal surgery. There is also growing evidence that an integrated multimodal approach to perioperative care can result in an overall enhancement of recovery.
The present manuscript reviews these issues in detail. The specific operations included in this care pathway are: The nonresectional group included incisional hernia repairs, parastomal hernia repairs, and adhesiolysis, in which the surgeon has a specialist interest and expertise.
Discharge from hospital is based on certain criteria, of which both the patient and the multi-professional team are aware; once these criteria are met, the patient is deemed safe to be discharged from hospital.
The colorectal group case mix mirrors the practice of a general surgeon with a specialist interest in colorectal surgery. This article has been cited by other articles in PMC.May 10, · 1.
Surg Today. May [Epub ahead of print] Effects of implementing an "enhanced recovery after surgery" program on patients undergoing resection of hepatocellular carcinoma.
Effects of introducing an enhanced recovery after surgery programme for patients undergoing open hepatic resection. recovery programme with preoperative stoma education. Methods Data collection on patients undergoing anterior resection with the formation of a loop ileostomy was. This guide will help you prepare for your low anterior resection (LAR) surgery at Memorial Sloan Kettering (MSK), and help you understand what to expect during your recovery.
About Your Low Anterior Resection Surgery | Memorial Sloan Kettering Cancer Center. Enhanced recovery after surgery: A consensus review of clinical care for patients undergoing colonic resection.
high anterior resection.
In February we developed an Enhanced Recovery Programme for patients undergoing rectal resections. The specific operations included in this care pathway are.Download