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World J Gastroenterol. 2015 Dec 21;21(47):13339-44. doi: 10.3748/wjg.v21.i47.13339.

Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas.

Author information

1
Ikram Abdikarim, Xue-Yuan Cao, Shou-Zhen Li, Yin-Quan Zhao, Yerlan Taupyk, Quan Wang, Department of Gastric and Colorectal Surgery, First Hospital of Jilin University, Changchun 130021, Jilin Province, China.

Abstract

AIM:

To study the efficacy of the enhanced recovery after surgery (ERAS) program in laparoscopic radical gastrectomy for stomach carcinomas.

METHODS:

From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopic-assisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jilin University were enrolled in this randomized controlled trial. (Clinical Trials.gov, registration ID: NCT01955096). The subjects were divided into the ERAS program group and the conventional control group. The clinical characteristics, recovery variables, and complications of patients were analyzed.

RESULTS:

The time to first ambulation, oral food intake, and time to defecation were significantly shorter in the ERAS group (n = 30), compared to the conventional group (n = 31; P = 0.04, 0.003, and 0.01, respectively). The postoperative hospital stay was less in the ERAS group (6.8 ± 1.1 d) compared to the conventional group (7.7 ± 1.1 d) (P = 0.002). There was no significant difference in postoperative complications between the ERAS (1/30) and conventional care groups (2/31) (P = 1.00). There were no readmissions or mortality during the 30-d follow-up period.

CONCLUSION:

The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer.

KEYWORDS:

Enhanced recovery after surgery; Gastrectomy; Gastric cancer; Laparoscopic

PMID:
26715818
PMCID:
PMC4679767
DOI:
10.3748/wjg.v21.i47.13339
[Indexed for MEDLINE]
Free PMC Article

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