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Related Experiment Video

Updated: Mar 13, 2026

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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Enhanced recovery implementation in colorectal surgery-temporary or persistent improvement?

David Martin1, Didier Roulin1, Valérie Addor1

  • 1Department of Visceral Surgery, University Hospital CHUV, Lausanne, Switzerland.

Langenbeck'S Archives of Surgery
|October 13, 2016
PubMed
Summary

Enhanced recovery after surgery (ERAS) protocols sustained positive outcomes in colorectal surgery over four years. The study shows consistent benefits in functional recovery and clinical results, demonstrating long-term effectiveness.

Keywords:
Colorectal surgeryEnhanced recoveryImplementationSustainability

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Patient Recovery

Background:

  • Enhanced Recovery After Surgery (ERAS) protocols are known to reduce complications and hospital stay.
  • The long-term sustainability of ERAS benefits requires further investigation.
  • This study evaluates the sustained application of an ERAS pathway over four years.

Purpose of the Study:

  • To assess the sustained application and effectiveness of an institutional ERAS pathway.
  • To evaluate adherence, clinical outcomes, and functional recovery over four years post-implementation.
  • To determine if ERAS benefits remain consistent over time.

Main Methods:

  • Retrospective analysis of 482 consecutive elective colorectal surgery patients.
  • Data collected prospectively from 2011 (implementation) to 2014.
  • Auditing ERAS adherence, clinical outcomes (complications, readmissions), and functional recovery (flatus, pain, mobilization).

Main Results:

  • Length of stay remained stable at 7 days; 30-day complication and readmission rates showed no significant variation.
  • Functional recovery metrics, including first flatus, pain control, and mobilization, were consistent.
  • ERAS adherence was high (73-77%), with a slight decrease observed between 2013 and 2014.

Conclusions:

  • The institutional ERAS pathway demonstrated sustained application and effectiveness in the first four years.
  • ERAS implementation leads to enduring improvements in functional recovery and clinical outcomes.
  • The findings support the long-term value of adhering to ERAS protocols in colorectal surgery.