The impact of ERAS protocols on postoperative outcomes in robotic, laparoscopic, and open colorectal surgery: A multicenter retrospective study
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F25%3A00001571" target="_blank" >RIV/61383082:_____/25:00001571 - isvavai.cz</a>
Result on the web
<a href="https://pubmed.ncbi.nlm.nih.gov/41207157/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/41207157/</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.amjsurg.2025.116679" target="_blank" >10.1016/j.amjsurg.2025.116679</a>
Alternative languages
Result language
angličtina
Original language name
The impact of ERAS protocols on postoperative outcomes in robotic, laparoscopic, and open colorectal surgery: A multicenter retrospective study
Original language description
Enhanced recovery after surgery (ERAS) protocols improve outcomes in colorectal surgery, but the impact of ERAS on comparative effectiveness across robotic, laparoscopic, and open approaches is unclear. Methods: In this multicenter retrospective study, 5503 patients undergoing elective colorectal surgery from 13 centers could be included. Patients were compared regarding surgical technique and ERAS adherence. Primary outcomes included postoperative complications and anastomotic leakage; secondary outcomes included length of hospital stay (LOS) and Comprehensive Complication Index (CCI). Multivariate regression assessed ERAS impact. Results: ERAS was used in 890 patients and associated with significantly shorter LOS across all modalities (robotic: 5.5 vs. 8.5 days; laparoscopic: 8.5 vs. 9.0 days; open: 13.1 vs. 14.5 days; p ?≤ ?0.02). ERAS independently reduced complication rates (p ?= ?0.016) and anastomotic leaks (p ?= ?0.007). Robotic surgery was protective against complications and linked to the greatest LOS reduction. ERAS did not significantly affect CCI. Conclusions: ERAS protocols improve postoperative outcomes across colorectal surgical techniques, with the greatest benefits in robotic surgery, supporting their broad clinical implementation.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - 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
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
American Journal of Surgery
ISSN
0002-9610
e-ISSN
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Volume of the periodical
2025
Issue of the periodical within the volume
NOV
Country of publishing house
US - UNITED STATES
Number of pages
7
Pages from-to
1-7
UT code for WoS article
001617931300001
EID of the result in the Scopus database
2-s2.0-105021016709