Related Experiment Video
Updated: Jan 12, 2026
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Effects of enhanced recovery after surgery nursing on patients undergoing laparoscopic colectomy: a systematic review
Dan Zhang1, Miaoxiu Zhong2, Liujia Jin2
1Department of Gastrointestinal Surgery, Shaoxing Second Hospital, No. 123 Yanan Road, Yuecheng District, Shaoxing, Zhejiang, 312000, China. Danzhang1985@163.com.
Background:
This study aimed to systematically evaluate the effects of Enhanced Recovery After Surgery (ERAS) nursing protocols on patients undergoing laparoscopic colectomy.
Methods:
Randomized controlled trials (RCTs) and quasi-experimental studies investigating the impact of ERAS nursing on laparoscopic colectomy patients were retrieved from databases including CNKI, Wanfang, VIP, CBM, PubMed, Cochrane Library, Embase, and Web of Science, with a search period spanning from inception to April 1, 2025. The quality of the included studies was assessed using appropriate tools; while the overall quality was acceptable, some studies had a higher risk of bias. Data were statistically analyzed using RevMan 5.3 software.
Results:
A total of 7 RCTs and 7 quasi-experimental studies involving 1991 patients were included. The meta-analysis demonstrated that the ERAS nursing group exhibited significantly shorter hospital stays (SMD = -0.95, 95% CI: -1.64 to -0.25, P = 0.007), lower complication rates (OR = 0.51, 95% CI: 0.40-0.64, P < 0.00001), and earlier first flatus time (SMD = -1.05, 95% CI: -1.56 to -0.54, P < 0.0001) compared to the control group. High heterogeneity (I² >75%) was observed for both hospital stay and time to first flatus. However, no statistically significant difference was observed in readmission rates between the two groups (OR = 1.01, 95% CI: 0.56-1.81, P = 0.97).
Conclusion:
ERAS nursing significantly shortens hospital stay, reduces the incidence of postoperative complications, and promotes the recovery of gastrointestinal function (earlier time to first flatus). However, due to the high heterogeneity and varying quality of the included studies and the relatively low quality of some studies, its effect on reducing readmission rates has not been definitively established. Therefore, further research is needed to minimize bias and enhance the reliability of the data.
Trial Registration:
The study protocol was registered with PROSPERO (Registration ID: CRD420251165792).
More Related Videos
12:45Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
07:22Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
