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Article: Enhanced recovery program in laparoscopic colectomy for cancer

TitleEnhanced recovery program in laparoscopic colectomy for cancer
Authors
KeywordsEnhanced recovery program
Laparoscopic colectomy
Issue Date2011
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00384/index.htm
Citation
International Journal Of Colorectal Disease, 2011, v. 26 n. 1, p. 71-77 How to Cite?
AbstractIntroduction: Both laparoscopic colectomy and application of enhanced recovery program (ERP) in open colectomy have been demonstrated to enable early recovery and to shorten hospital stay. This study evaluated the impact of ERP on results of laparoscopic colectomy and comparison was made with the outcomes of patients prior to the application of ERP. Methods: An ERP was implemented in the authors' center in December 2006. Short-term outcomes of consecutive 84 patients who underwent laparoscopic colonic cancer resection 23 months before (control group) and 96 patients who were operated within 13 months; after application of ERP (ERP group) were compared. Results: Between the ERP and control groups, there was no statistical difference in patient characteristics, pathology, operating time, blood loss, conversion rate or complications. Compared to the control group, patients in the ERP group had earlier passage of flatus [2 (range: 1-5) versus 2 (range: 1-4) days after operation respectively; p∈=∈0.03)] and a lower incidence of prolonged post-operative ileus (6% versus 0 respectively; p∈=∈0.02). There was no difference in the hospital stay between the two groups [4 (range: 2-34) days in control group and 4 (range: 2-23) days in ERP group; p∈=∈0.4)]. The re-admission rate was also similar (7% in control group and 5% in ERP group; p∈=∈0.59). Conclusions: In laparoscopic colectomy for cancer, application of ERP was associated with no increase in complication rate but significant improvement of gastrointestinal function. ERP further hastened patient recovery but resulted in no difference in hospital stay. © 2010 The Author(s).
Persistent Identifierhttp://hdl.handle.net/10722/133822
ISSN
2015 Impact Factor: 2.383
2015 SCImago Journal Rankings: 1.102
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorFan, JKMen_HK
dc.contributor.authorLo, OSHen_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2011-05-31T07:29:53Z-
dc.date.available2011-05-31T07:29:53Z-
dc.date.issued2011en_HK
dc.identifier.citationInternational Journal Of Colorectal Disease, 2011, v. 26 n. 1, p. 71-77en_HK
dc.identifier.issn0179-1958en_HK
dc.identifier.urihttp://hdl.handle.net/10722/133822-
dc.description.abstractIntroduction: Both laparoscopic colectomy and application of enhanced recovery program (ERP) in open colectomy have been demonstrated to enable early recovery and to shorten hospital stay. This study evaluated the impact of ERP on results of laparoscopic colectomy and comparison was made with the outcomes of patients prior to the application of ERP. Methods: An ERP was implemented in the authors' center in December 2006. Short-term outcomes of consecutive 84 patients who underwent laparoscopic colonic cancer resection 23 months before (control group) and 96 patients who were operated within 13 months; after application of ERP (ERP group) were compared. Results: Between the ERP and control groups, there was no statistical difference in patient characteristics, pathology, operating time, blood loss, conversion rate or complications. Compared to the control group, patients in the ERP group had earlier passage of flatus [2 (range: 1-5) versus 2 (range: 1-4) days after operation respectively; p∈=∈0.03)] and a lower incidence of prolonged post-operative ileus (6% versus 0 respectively; p∈=∈0.02). There was no difference in the hospital stay between the two groups [4 (range: 2-34) days in control group and 4 (range: 2-23) days in ERP group; p∈=∈0.4)]. The re-admission rate was also similar (7% in control group and 5% in ERP group; p∈=∈0.59). Conclusions: In laparoscopic colectomy for cancer, application of ERP was associated with no increase in complication rate but significant improvement of gastrointestinal function. ERP further hastened patient recovery but resulted in no difference in hospital stay. © 2010 The Author(s).en_HK
dc.languageengen_US
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00384/index.htmen_HK
dc.relation.ispartofInternational Journal of Colorectal Diseaseen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThe original publication is available at www.springerlink.comen_US
dc.rightsThe Author(s)en_US
dc.subjectEnhanced recovery programen_HK
dc.subjectLaparoscopic colectomyen_HK
dc.subject.meshColectomy - adverse effects - rehabilitation-
dc.subject.meshColonic Neoplasms - rehabilitation - surgery-
dc.subject.meshDemography-
dc.subject.meshLaparoscopy - adverse effects - rehabilitation-
dc.subject.meshPatient Readmission-
dc.titleEnhanced recovery program in laparoscopic colectomy for canceren_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0179-1958&volume=26&issue=1&spage=71&epage=77&date=2011&atitle=Enhanced+recovery+program+in+laparoscopic+colectomy+for+cancer-
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1007/s00384-010-1059-6en_HK
dc.identifier.pmid20938667-
dc.identifier.pmcidPMC3015174-
dc.identifier.scopuseid_2-s2.0-78751569674en_HK
dc.identifier.hkuros191445-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78751569674&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume26en_HK
dc.identifier.issue1en_HK
dc.identifier.spage71en_HK
dc.identifier.epage77en_HK
dc.identifier.eissn1432-1262en_US
dc.identifier.isiWOS:000285785600009-
dc.publisher.placeGermanyen_HK
dc.description.otherSpringer Open Choice, 31 May 2011en_US
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridFan, JKM=23484820100en_HK
dc.identifier.scopusauthoridLo, OSH=6508168045en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.citeulike8020849-

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