SP10.5 Effectiveness of Enhance Recovery After Surgery (ERAS) Protocols in Malignant Colorectal Cancer Resections: A 15 year cohort study
M A Gok, H N Mughal, M Bughio, U A Khan- Surgery
Abstract
Aims
ERAS improves post operative recovery following colorectal resections. ERAS is applicable to both laparoscopic and open surgery. Aim of study is to assess effectiveness of ERAS in malignant colorectal cancer (CRC) resections.
Methods
Single-centre cohort study evaluated post operative outcomes in elective malignant CRC resections from January 2008 to February 2023. CRC resections performed without ERAS were used as controls.
Results
Conclusion
ERAS was employed in more laparoscopic CRC resections. ERAS discontinuation in major surgical complications. Despite prolonged operation in ERAS group (p < 0.0001), hospital stay was significantly shorter (p < 0.0001). Survival rates were better in the ERAS group (Logrank p < 0.05), explained by ERAS wholly implemented & non ERAS were historical cases. Delayed ERAS occurred in 6.9 % of cases & can account towards delays in hospital discharge. This study demonstrated a targeted rehabilitation programme and early diagnosis of surgical complications can facilitate post-operative recovery.