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- Original Article Clinical Significance of the Enhanced Recovery after Surgery (ERAS) Program in Laparoscopic Colon Cancer Surgery
- Kyung Uk Jung, M.D.1, Yong Beom Cho, M.D., Ph.D.2, Hye Young Koo, M.D.2, Kang Jae Kim, M.D.2, Jung-A Yun, M.D.2, Yoon Ah Park, M.D.2, Seong Hyeon Yun, M.D., Ph.D.2, Hee Cheol Kim, M.D., Ph.D.2, Woo Yong Lee, M.D., Ph.D.2, Ho-Kyung Chun, M.D., Ph.D.1
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복강경 결장암 수술에 적용된 Enhanced Recovery after Surgery (ERAS) 프로그램의 임상적 의의 - 정경욱1ㆍ조용범2ㆍ구혜영2ㆍ김강재2ㆍ윤정아2ㆍ박윤아2ㆍ윤성현2ㆍ김희철2ㆍ이우용2ㆍ전호경1
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Surgical Metabolism and Nutrition 2012;3(2):38-44.
Published online: December 30, 2012
Department of Surgery,
1Kangbuk Samsung Hospital,
2Samsung Medical Center, Sungkyunkwan University of School of Medicine, Seoul, Korea
성균관대학교 의과대학 2강북삼성병원 외과학교실,
2삼성서울병원 외과학교실
1Kangbuk Samsung Hospital,
2Samsung Medical Center, Sungkyunkwan University of School of Medicine, Seoul, Korea
성균관대학교 의과대학 2강북삼성병원 외과학교실,
2삼성서울병원 외과학교실
Received: 22 November 2012 • Revised: 14 December 1901 • Accepted: 20 December 2012
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Abstract
Purpose: The Enhanced Recovery After Surgery (ERAS) program has been shown to benefit recovery following major surgery in variable patient groups, especially in open procedures. However, benefits of the ERAS programs were not well investigated in laparoscopic colorectal resection. The aim of this study was to evaluate the outcomes of major elective laparoscopic colon cancer surgery when the ERAS program was used.
Materials and Methods: Between June 1, 2011 and December 31, 2011, a total of 378 patients who underwent major elective laparoscopic colon cancer surgery were treated within the ERAS program (ERAS group). The demographic features, operative details, postoperative clinical recovery, and complications of these patients were compared with those of 334 patients in the pre-ERAS group who underwent major elective laparoscopic colon cancer surgery between June 1, 2010 and December 31, 2010.
Results: No significant differences in sex, BMI, ASA, cancer site, and staging were observed between the ERAS and pre-ERAS groups. Patients in the ERAS group were older than those in the pre-ERAS group (P=0.05). Regarding postoperative recovery, the time to first bowel movement and the time to resume a full diet were significantly shorter in the ERAS group (P=0.02 and P<0.01, respectively). However, the length of time for postoperative hospitalization did not differ significantly between the two groups. The readmission rates were similar in the two groups (2.4% vs. 3.3%). Fewer overall postoperative complications were observed in the ERAS group than in the pre-ERAS group (12.2% vs. 19.2%, P=0.01).
Conclusion: The results of this study suggest that the ERAS program may provide better short-term clinical outcomes for patients undergoing laparoscopic colon cancer surgery. (SMN 2012;3:38-44)
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