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[Enhanced Recovery Program in colorectal surgery].

Balázs Bánky1, Miklós Lakatos1, Krisztina Varga1

  • 1Sebészeti Osztály, Szent Borbála Kórház 2800 Tatabánya, Dózsa Gy. út 77.

Magyar Sebeszet
|March 15, 2018
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Summary

The Enhanced Recovery After Surgery (ERAS) program significantly reduced hospital stays and complications in colorectal surgery patients. This evidence-based strategy proved effective and safe for widespread adoption in county hospitals.

Keywords:
ERAScolorectalcolorectaliskezelésmultidisciplinarymultidiszciplinárisperioperativeperioperatív

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Area of Science:

  • Colorectal Surgery
  • Perioperative Care
  • Evidence-Based Medicine

Background:

  • The Enhanced Recovery After Surgery (ERAS) program is a well-established, evidence-based strategy in perioperative colorectal patient management.
  • ERAS, particularly when combined with laparoscopy, is known to reduce morbidity, hospital stay, and costs.

Purpose of the Study:

  • To report a retrospective clinical audit of an ERAS program implemented in a county hospital.
  • To compare the clinical outcomes of traditional perioperative colorectal management with the ERAS protocol.

Main Methods:

  • A retrospective audit was conducted over two years (2015-2016).
  • Clinical results of 130 patients under traditional protocols were compared with 84 patients managed under the ERAS protocol.
  • Patients were assessed based on demographic, cancer-related, and clinical outcome parameters.

Main Results:

  • The ERAS group had a shorter median hospital stay (6 days) compared to the traditional group (8 days).
  • Morbidity (Clavien-Dindo grade ≥2) was significantly lower in the ERAS group (8.3%) versus the traditional group (27.4%).
  • The ERAS program achieved a success rate of over 70% for discharge by the 7th postoperative day, with no increase in readmission rates.

Conclusions:

  • The ERAS program was successfully introduced and implemented in a Middle-Eastern European county hospital's colorectal service.
  • Favorable outcomes from the audit led to the adoption of the ERAS protocol as the primary perioperative scheme for all elective colorectal cases starting in 2017.