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Enhanced recovery after surgery (ERAS) programs for esophagectomy
Mateusz Rubinkiewicz1, Jan Witowski1,2, Michael Su1
12nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.
Journal of Thoracic Disease
|May 14, 2019
Summary
Enhanced recovery after surgery (ERAS) protocols show promise in esophageal surgery, reducing costs and hospital stay. Further research is needed to confirm overall morbidity benefits and standardize protocols for this specific surgical area.
Area of Science:
- Surgical protocols
- Patient recovery optimization
Background:
- Enhanced Recovery After Surgery (ERAS) protocols accelerate patient recovery by decreasing surgical trauma and stress.
- ERAS is widely adopted in various surgical fields but its application in esophageal surgery remains limited.
Purpose of the Study:
- To analyze the feasibility and value of implementing ERAS protocols in esophageal surgery.
- To review existing literature on ERAS in esophageal procedures.
Main Methods:
- Literature review of studies on ERAS protocols in esophageal surgery.
- Analysis of reported outcomes including length of stay, complications, and costs.
Main Results:
- ERAS implementation in esophageal surgery led to reduced costs and length of hospital stay.
- A decrease in pulmonary-specific complications was observed, but not a reduction in overall morbidity.
- The current evidence base lacks randomized controlled trials.
Conclusions:
- ERAS protocols offer potential benefits for esophageal surgery, including cost savings and shorter hospital stays.
- Further research, including randomized controlled trials, is necessary to confirm efficacy and address specific surgical elements.
- Standardization of ERAS protocols, guided by ERAS Society recommendations, is crucial for comparable study outcomes.
Keywords:
Esophageal cancerenhanced recovery after surgery (ERAS)esophagectomyneoplasmsthoracic surgeryMore Related Videos
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