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.
| Original language | English |
|---|---|
| Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
| Volume | 26 |
| Issue number | 3 |
| Pages (from-to) | e50-5 |
| ISSN | 1530-4515 |
| DOIs | |
| Publication status | Published - Jun 2016 |
Keywords
- Adult
- Aged
- Aged, 80 and over
- Anastomotic Leak
- Elective Surgical Procedures
- Female
- Gastrectomy
- Gastrointestinal Stromal Tumors
- Humans
- Laparoscopy
- Length of Stay
- Lymphatic Metastasis
- Male
- Middle Aged
- Postoperative Care
- Postoperative Hemorrhage
- Prospective Studies
- Reoperation
- Stomach Neoplasms
- Evaluation Studies
- Journal Article