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Enhanced recovery programme following laparoscopic colorectal resection for elderly patients
Author(s) -
Zeng Wei Gen,
Liu Meng Jia,
Zhou Zhi Xiang,
Wang Zhen Jun
Publication year - 2018
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.14074
Subject(s) - medicine , perioperative , american society of anesthesiologists , complication , gastrointestinal function , surgery , blood loss , colorectal cancer , colorectal surgery , group b , laparoscopic surgery , anesthesia , laparoscopy , abdominal surgery , cancer
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.