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

BMC Surgery

Research Article

Hideki Taniguchi¹  Haruhiko Cho²  Akira Tsuburaya²  Takaki Yoshikawa²  Toru Aoyama³  Tsutomu Hayashi³  Junya Shirai³  Hirohito Fujikawa³  Takanobu Yamada³  Ryoji Fukushima⁴  Munetaka Masuda⁵  Yasushi Rino⁵ 

[1] 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;Department of Gastrointestinal Surgery, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi, 241-0815, Yokohama, Kanagawa, Japan;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 Surgery, Yokohama City University, Yokohama, Japan;

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

DOI  :  10.1186/1471-2482-14-41

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

来源: Springer

【 摘 要 】

BackgroundEnhanced 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.MethodsThe 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.ResultsA 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.ConclusionsOur results suggest that our ERAS program is feasible in patients who undergo gastric surgery.

【 授权许可】

CC BY   
© Yamada et al.; licensee BioMed Central Ltd. 2014