Retrospective cohort study of an enhanced recovery programme in oesophageal and gastric cancer surgery.

Abstract:

:Introduction Enhanced recovery programmes have been established in some areas of elective surgery. This study applied enhanced recovery principles to elective oesophageal and gastric cancer surgery. Methods An enhanced recovery programme for patients undergoing open oesophagogastrectomy, total and subtotal gastrectomy for oesophageal and gastric malignancy was designed. A retrospective cohort study compared length of stay on the critical care unit (CCU), total length of inpatient stay, rates of complications and in-hospital mortality prior to (35 patients) and following (27 patients) implementation. Results In the cohort study, the median total length of stay was reduced by 3 days following oesophagogastrectomy and total gastrectomy. The median length of stay on the CCU remained the same for all patients. The rates of complications and mortality were the same. Conclusions The standardised protocol reduced the median overall length of stay but did not reduce CCU stay. Enhanced recovery principles can be applied to patients undergoing major oesophagogastrectomy and total gastrectomy as long as they have minimal or reversible co-morbidity.

journal_name

Ann R Coll Surg Engl

authors

Gatenby PA,Shaw C,Hine C,Scholtes S,Koutra M,Andrew H,Hacking M,Allum WH

doi

10.1308/003588415X14181254789880

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

502-7

issue

7

eissn

0035-8843

issn

1478-7083

journal_volume

97

pub_type

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