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Related Experiment Video

Updated: May 21, 2026

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Published on: September 8, 2022

Requirement for postoperative imaging in an enhanced recovery programme.

J C Lane¹, J Burch, D Burling

¹Department of Surgery, St Mark's Hospital, Harrow, Middlesex, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|June 29, 2012

Summary

Enhanced recovery after surgery (ERAS) requires significant postoperative radiology, particularly for adverse events. These radiology costs, averaging £90 per patient, should be included in future ERAS economic analyses.

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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

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Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Area of Science:

Colorectal Surgery
Enhanced Recovery After Surgery (ERAS) Protocols
Radiology in Postoperative Care

Background:

Enhanced Recovery After Surgery (ERAS) protocols significantly reduce hospital stay and patient morbidity.
While the impact of ERAS on nursing and physiotherapy workload is understood, its effect on radiology demand and associated costs remains unclear.
This study investigates radiology utilization in ERAS patients to identify potential hidden expenditures.

Purpose of the Study:

To determine the extent of postoperative radiology use in patients undergoing colorectal surgery within an ERAS program.
To quantify the associated costs of radiology in ERAS patients.
To inform future cost-effectiveness analyses of ERAS by including radiology expenditures.

Main Methods:

Retrospective analysis of 265 patients from a prospective ERAS database who underwent colorectal surgery between 2008 and 2009.
Assessment of all radiology examinations (CT, plain X-ray, ultrasound) performed within 30 days of surgery.
Evaluation of adverse events, including gut dysfunction, surgical site infection, and reoperation, to correlate with radiology use.

Main Results:

Postoperative radiology was utilized in 28% of ERAS patients (n=71), with 16% (n=41) undergoing CT of the abdomen and pelvis within 30 days.
CT scans were required in 13% of patients during their primary admission, including 30% of those with adverse events.
The estimated radiology cost was over £22,000, averaging £90 per ERAS patient.

Conclusions:

A significant proportion of ERAS patients require postoperative radiology, often prompted by adverse events.
Interventional radiology was not required for any patient in this cohort.
The costs associated with postoperative radiology in ERAS pathways must be incorporated into future economic evaluations.