Should minimally invasive approaches in rectal surgery be regarded as a key element of modern enhanced recovery perioperative care?

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F23%3A43925226" target="_blank" >RIV/00064173:_____/23:43925226 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/23:10430830 RIV/00064203:_____/23:10430830

Result on the web

<a href="https://doi.org/10.1080/00015458.2021.1971871" target="_blank" >https://doi.org/10.1080/00015458.2021.1971871</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1080/00015458.2021.1971871" target="_blank" >10.1080/00015458.2021.1971871</a>

Result language

angličtina

Original language name

Should minimally invasive approaches in rectal surgery be regarded as a key element of modern enhanced recovery perioperative care?

Original language description

INTRODUCTION: The aim of study was to assess the impact of an enhanced recovery after surgery (ERAS) protocol and minimally invasive approaches on short-term outcomes in rectal surgery. PATIENTS AND METHODS: A consecutive series of patients that underwent open or minimally invasive rectal resections in a single institution between January 2015 and April 2020 were included in the study. An ERAS program was introduced in April 2016. The study cohort was divided into three groups: open surgery without ERAS, open surgery with ERAS, and minimally invasive surgery with ERAS. Outcome measures compared were recovery parameters, surgical stress parameters, 30-day morbidity and mortality, oncological radicality and length of hospital stay. RESULTS: A total of 202 patients were included: 43 in the open non-ERAS group, 92 in the open ERAS group and 67 in the minimally invasive ERAS group. All recovery parameters apart from postoperative nausea and vomiting were significantly improved in both ERAS groups. Surgical stress parameters, prolonged postoperative ileus, and hospital stay were significantly reduced in the minimally invasive ERAS group. The overall 30-day morbidity and mortality and oncological radicality did not significantly differ among the three groups. CONCLUSIONS: Minimally invasive approaches and enhanced recovery care in rectal surgery improve short-term outcomes. Their combination leads to an improvement in recovery parameters and a reduction of prolonged postoperative ileus and hospital stay.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Acta Chirurgica Belgica

ISSN

0001-5458

e-ISSN

—

Volume of the periodical

123

Issue of the periodical within the volume

2

Country of publishing house

GB - UNITED KINGDOM

Number of pages

7

Pages from-to

163-169

UT code for WoS article

000691466000001

EID of the result in the Scopus database

2-s2.0-85113995155