Feasibility of enhanced recovery after surgery in gastric surgery: a retrospective study

BMC Surgery

Akira Tsuburaya⁴  Ryoji Fukushima²  Hideki Taniguchi³  Munetaka Masuda¹  Yasushi Rino¹  Takaki Yoshikawa⁴  Haruhiko Cho⁴  Hirohito Fujikawa¹  Junya Shirai⁴  Toru Aoyama¹  Tsutomu Hayashi¹  Takanobu Yamada¹ 

[1] Department of Surgery, Yokohama City University, Yokohama, Japan;Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, 173-8605 Itabashi, Tokyo, Japan;Department of Anesthesiology, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi, 241-0815 Yokohama, Kanagawa, Japan;Department of Gastrointestinal Surgery, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi, 241-0815 Yokohama, Kanagawa, Japan

关键词: Postoperative complications;    Feasibility;    Gastrectomy;    Gastric cancer;    Enhanced recovery after surgery;   

Others  :  863124
DOI  :  10.1186/1471-2482-14-41

 received in 2013-10-07, accepted in 2014-07-02,  发布年份 2014

【 摘 要 】

Background

Enhanced recovery after surgery (ERAS) programs have been reported to be feasible and useful for maintaining physiological function and facilitating recovery after colorectal surgery. The feasibility of such programs in gastric surgery remains unclear. This study assessed whether an ERAS program is feasible in patients who undergo gastric surgery.

Methods

The subjects were patients who underwent gastric surgery between June 2009 and February 2011 at the Department of Gastrointestinal Surgery, Kanagawa Cancer Center. They received perioperative care according to an ERAS program. All data were retrieved retrospectively. The primary end point was the incidence of postoperative complications. The secondary end point was postoperative outcomes.

Results

A total of 203 patients were studied. According to the Clavien-Dindo classification, the incidence of ≥ grade 2 postoperative complications was 10.8% and that of ≥ grade 3 complications was 3.9%. Nearly all patients did not require delay of meal step-up (95.1%). Only 6 patients (3.0%) underwent reoperation. The median postoperative hospital stay was 9 days. Only 4 patients (2.0%) required readmission. There was no mortality.

Conclusions

Our results suggest that our ERAS program is feasible in patients who undergo gastric surgery.

【 授权许可】

   
2014 Yamada et al.; licensee BioMed Central Ltd.

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