Outcomes From an Enhanced Recovery Program for Laparoscopic Gastric Surgery

Nathalie Wong-Chong, Henrik Kehlet, Teodor Pantchev Grantcharov

6 Citationer (Scopus)

Abstract

PURPOSE: To examine the outcomes from an enhanced recovery after surgery (ERAS) program for laparoscopic gastric surgery.

MATERIALS AND METHODS: This was a prospective study of patients undergoing elective laparoscopic gastric resection in an ERAS protocol at a single institution between 2008 and 2012. Outcomes included the length of hospital stay, intraoperative and postoperative complications, the readmission rate, the reoperation rate, and the 30-day mortality.

RESULTS: Of the 86 patients, 60 underwent partial gastrectomy and 26 underwent total gastrectomy. Median lymph nodes sampled was 15 (range, 9 to 47). The median length of hospital stay was 4 (range, 1 to 44) days. The conversion rate to open surgery was 11.6%. Four patients (4.7%) had an anastomotic leak. Three patients had postoperative bleeding (4.7%). About 4.7% (n=4) of the patients required readmission and 8.1% required reoperation (n=7). The 30-day mortality rate was 2.3% (n=2) due to complications from anastomotic leak.

CONCLUSIONS: Laparoscopic gastrectomy within an ERAS protocol results in a short hospital stay with an acceptable morbidity and mortality rate.

OriginalsprogEngelsk
TidsskriftSurgical laparoscopy, endoscopy & percutaneous techniques
Vol/bind26
Udgave nummer3
Sider (fra-til)e50-5
Antal sider6
ISSN1530-4515
DOI
StatusUdgivet - 2016

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