The impact of ERAS protocols on postoperative outcomes in robotic, laparoscopic, and open colorectal surgery: A multicenter retrospective study

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

The impact of ERAS protocols on postoperative outcomes in robotic, laparoscopic, and open colorectal surgery: A multicenter retrospective study

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

The impact of ERAS protocols on postoperative outcomes in robotic, laparoscopic, and open colorectal surgery: A multicenter retrospective study

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

American Journal of Surgery

ISSN

0002-9610

e-ISSN

—

Svazek periodika

2025

Číslo periodika v rámci svazku

NOV

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

7

Strana od-do

1-7

Kód UT WoS článku

001617931300001

EID výsledku v databázi Scopus

2-s2.0-105021016709