Implementation of an enhanced recovery after surgery program with robotic surgery in high-risk patients obtains optimal results after colorectal resections

Enhanced recovery after surgery programs reduce postoperative complications and length of stay after laparoscopic colorectal surgery, but are still under evaluation after robotic colorectal surgery. To evaluate potential benefits in terms of length of stay and complications of an Enhanced recovery a...

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Veröffentlicht in:Journal of robotic surgery 2022-06, Vol.16 (3), p.575-586
Hauptverfasser: Cristóbal Poch, Lidia, Cagigas Fernández, Carmen, Gómez-Ruiz, Marcos, Ortega Roldán, Marta, Cantero Cid, Ramón, Castillo Diego, Julio, Gómez-Fleitas, Manuel
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Sprache:eng
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Zusammenfassung:Enhanced recovery after surgery programs reduce postoperative complications and length of stay after laparoscopic colorectal surgery, but are still under evaluation after robotic colorectal surgery. To evaluate potential benefits in terms of length of stay and complications of an Enhanced recovery after surgery program in colorectal surgery. A subanalysis was performed to assess what combination of surgical approach and perioperative care had better outcomes. Prospective observational cohort study. 300 consecutive colorectal surgery patients: 150 were prospectively included in the enhanced recovery after Surgery program group and 150 retrospectively in the traditional care group, and subdivided according to the type of surgery, in Hospital Marques de Valdecilla, between 2013 and 2016. Postoperative complications decreased significantly ( p  = 0.002) from 46 to 28% (traditional care vs program group). The length of stay was decreased by 2 days ( p  
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-021-01281-w