Mark T Yost1, Joshua S Jolissaint1,2, Adam C Fields1,2, P Marco Fisichella1,3. 1. 1 Harvard Medical School , Boston, Massachusetts. 2. 2 Department of Surgery, Brigham and Women's Hospital , Boston, Massachusetts. 3. 3 Department of Surgery, VA Boston Healthcare System , West Roxbury, Massachusetts.
Abstract
INTRODUCTION: The outcomes for enhanced recovery after surgery (ERAS) have yet to be thoroughly studied in minimally invasive esophageal surgery. In this review, we examine the literature to provide an overview of the current state of ERAS in minimally invasive esophageal surgery. METHODS: We searched the PubMed database up to January 2018 for relevant literature. We reviewed two randomized controlled trials, one Cochrane Review, two meta-analyses, three systematic reviews, three prospective cohort studies, three retrospective case-control studies, one consecutive series, and several other studies pertaining to ERAS in minimally invasive esophageal surgery. RESULTS: Compared with conventional perioperative care, ERAS pathways after minimally invasive esophageal procedures reduce postoperative hospital length of stay, encourage earlier return of bowel function, increase cost savings, and do not significantly change perioperative complication rates. CONCLUSIONS: We recommend that patients undergoing minimally invasive esophageal surgery enter a postoperative ERAS pathway to maximize recovery. ERAS pathways offer the best opportunity for successful postoperative recovery without negatively impacting patient safety.
INTRODUCTION: The outcomes for enhanced recovery after surgery (ERAS) have yet to be thoroughly studied in minimally invasive esophageal surgery. In this review, we examine the literature to provide an overview of the current state of ERAS in minimally invasive esophageal surgery. METHODS: We searched the PubMed database up to January 2018 for relevant literature. We reviewed two randomized controlled trials, one Cochrane Review, two meta-analyses, three systematic reviews, three prospective cohort studies, three retrospective case-control studies, one consecutive series, and several other studies pertaining to ERAS in minimally invasive esophageal surgery. RESULTS: Compared with conventional perioperative care, ERAS pathways after minimally invasive esophageal procedures reduce postoperative hospital length of stay, encourage earlier return of bowel function, increase cost savings, and do not significantly change perioperative complication rates. CONCLUSIONS: We recommend that patients undergoing minimally invasive esophageal surgery enter a postoperative ERAS pathway to maximize recovery. ERAS pathways offer the best opportunity for successful postoperative recovery without negatively impacting patient safety.
Entities:
Keywords:
esophagoscopic; esophagus; minimally invasive surgical procedures; surgery
Authors: Ying Xu; Ao Liu; Lu Chen; Hai Huang; Yi Gao; Chuanjie Zhang; Yang Xu; Da Huang; Danfeng Xu; Min Zhang Journal: J Int Med Res Date: 2020-06 Impact factor: 1.671