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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Early Ambulation is Associated with Improved Outcomes Following Colorectal Surgery.

Andrew Rosowicz¹, Jason S Brody², Damien J Lazar²

¹Icahn School of Medicine at Mount Sinai, New York, NY, USA.

The American Surgeon

|November 29, 2022

Summary

Early mobilization after colorectal surgery, specifically walking within 24 hours, significantly reduces severe complications and adverse events. This finding supports optimizing patient recovery protocols for better surgical outcomes.

Keywords:

colorectal enhanced recovery after surgery general surgery

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Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Area of Science:

Surgical Outcomes Research
Patient Recovery Protocols
Postoperative Care Optimization

Background:

Enhanced Recovery After Surgery (ERAS) guidelines recommend early mobilization for colorectal surgery patients.
Current ERAS guidelines lack a clear definition of "early" mobilization, and supporting evidence is limited.
This study defines early mobilization by time to first ambulation and establishes an outcome-based cutoff.

Purpose of the Study:

To define an outcome-based cutoff for "early" ambulation following colorectal surgery.
To investigate the association between time to first ambulation and postoperative outcomes.

Main Methods:

Retrospective cohort study of 291 patients undergoing colorectal operations.
Patients were divided into early and late ambulation groups using 12, 24, and 48-hour cutoffs.
Statistical analysis compared postoperative outcomes between ambulation groups.

Main Results:

Ambulation within 24 hours was associated with significantly lower rates of severe complications (4.1% vs. 11.8%) and overall adverse events (22.1% vs. 36.1%).
No significant differences were observed for 12-hour or 48-hour ambulation cutoffs.
The 24-hour cutoff demonstrated a statistically significant improvement in patient outcomes.

Conclusions:

Walking within 24 hours after colorectal surgery is linked to improved postoperative outcomes.
Early ambulation, defined as within 24 hours, is particularly effective in reducing severe complications.
This finding provides evidence for refining ERAS protocols regarding early mobilization.