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Outcomes From an Enhanced Recovery Program for Laparoscopic Gastric Surgery
Nathalie Wong-Chong1, Henrik Kehlet, Teodor P Grantcharov
1*Department of Surgery, University of Toronto ‡Division of General Surgery, St. Michael's Hospital, Toronto, ON, Canada †Section for Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark.
Summary
Enhanced recovery after surgery (ERAS) protocols for laparoscopic gastric surgery lead to short hospital stays. This approach demonstrates acceptable complication and mortality rates for patients undergoing these procedures.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Enhanced recovery after surgery (ERAS) protocols aim to optimize patient recovery and reduce complications.
- Laparoscopic gastric surgery offers potential benefits over open procedures, including reduced invasiveness.
Purpose of the Study:
- To evaluate the outcomes of laparoscopic gastric surgery performed within an ERAS program.
- To assess the safety and efficacy of ERAS protocols in this surgical context.
Main Methods:
- A prospective study involving 86 patients undergoing elective laparoscopic gastric resection between 2008 and 2012.
- Data collected included length of hospital stay, complication rates, readmission, reoperation, and 30-day mortality.
Main Results:
- The median hospital stay was 4 days.
- Anastomotic leak occurred in 4.7% of patients, with a 30-day mortality rate of 2.3% attributed to leaks.
- Readmission and reoperation rates were 4.7% and 8.1%, respectively.
Conclusions:
- Laparoscopic gastrectomy within an ERAS protocol is associated with a short hospital stay.
- The ERAS approach for laparoscopic gastric surgery demonstrates acceptable morbidity and mortality rates.
