Enhanced recovery after surgery (ERAS) programs for esophagectomy

2019
journal article
review article
31
dc.abstract.enA perioperative treatment protocol, enhanced recovery after surgery (ERAS) focuses on accelerating patient recovery. Previous studies confirmed that ERAS decreases surgical trauma and the stress response, which improved outcomes including reduced length of hospital stay (LOS) and decreased postoperative morbidity. While ERAS protocols have been successfully implemented in a variety of surgical disciplines (colorectal, bariatric, orthopedic, and gynecologic surgery), its use in esophageal surgery is still limited. This paper analyzes the feasibility and value of the ERAS protocol for esophageal surgery. Reviewing the literature found that implementation of ERAS resulted in decreased costs, length of stay and pulmonary specific complication reduction, but not overall morbidity. The evidence lacks randomized control trials. Further, the ERAS Society published recommendations for esophageal resection. This opportunity for unification of the protocol would make the studies more comparable and leads to stronger conclusions. Surgery specific items also require further confirmation. Nonetheless, the successful introduction of the ERAS protocol into a wide variety of surgical disciplines provides optimism for ERAS’s effectiveness in esophageal surgery.pl
dc.affiliationWydział Lekarski : Klinika Chirurgii Endoskopowej, Metabolicznej oraz Nowotworów Tkanek Miękkichpl
dc.cm.date2020-01-07
dc.cm.id92302
dc.contributor.authorRubinkiewicz, Mateusz - 114793 pl
dc.contributor.authorWitowski, Janpl
dc.contributor.authorSu, Michaelpl
dc.contributor.authorMajor, Piotr - 141443 pl
dc.contributor.authorPędziwiatr, Michał - 140831 pl
dc.date.accessioned2020-01-17T10:02:52Z
dc.date.available2020-01-17T10:02:52Z
dc.date.issued2019pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.numbersuppl. 5pl
dc.description.physicalS685-S691pl
dc.description.points70pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume11pl
dc.identifier.doi10.21037/jtd.2018.11.56pl
dc.identifier.eissn2077-6624pl
dc.identifier.issn2072-1439pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/144879
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enesophageal cancerpl
dc.subject.enneoplasmspl
dc.subject.enesophagectomypl
dc.subject.enenhanced recovery after surgery (ERAS)pl
dc.subject.enthoracic surgerypl
dc.subtypeReviewArticlepl
dc.titleEnhanced recovery after surgery (ERAS) programs for esophagectomypl
dc.title.journalJournal of Thoracic Diseasepl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
A perioperative treatment protocol, enhanced recovery after surgery (ERAS) focuses on accelerating patient recovery. Previous studies confirmed that ERAS decreases surgical trauma and the stress response, which improved outcomes including reduced length of hospital stay (LOS) and decreased postoperative morbidity. While ERAS protocols have been successfully implemented in a variety of surgical disciplines (colorectal, bariatric, orthopedic, and gynecologic surgery), its use in esophageal surgery is still limited. This paper analyzes the feasibility and value of the ERAS protocol for esophageal surgery. Reviewing the literature found that implementation of ERAS resulted in decreased costs, length of stay and pulmonary specific complication reduction, but not overall morbidity. The evidence lacks randomized control trials. Further, the ERAS Society published recommendations for esophageal resection. This opportunity for unification of the protocol would make the studies more comparable and leads to stronger conclusions. Surgery specific items also require further confirmation. Nonetheless, the successful introduction of the ERAS protocol into a wide variety of surgical disciplines provides optimism for ERAS’s effectiveness in esophageal surgery.
dc.affiliationpl
Wydział Lekarski : Klinika Chirurgii Endoskopowej, Metabolicznej oraz Nowotworów Tkanek Miękkich
dc.cm.date
2020-01-07
dc.cm.id
92302
dc.contributor.authorpl
Rubinkiewicz, Mateusz - 114793
dc.contributor.authorpl
Witowski, Jan
dc.contributor.authorpl
Su, Michael
dc.contributor.authorpl
Major, Piotr - 141443
dc.contributor.authorpl
Pędziwiatr, Michał - 140831
dc.date.accessioned
2020-01-17T10:02:52Z
dc.date.available
2020-01-17T10:02:52Z
dc.date.issuedpl
2019
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
suppl. 5
dc.description.physicalpl
S685-S691
dc.description.pointspl
70
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
11
dc.identifier.doipl
10.21037/jtd.2018.11.56
dc.identifier.eissnpl
2077-6624
dc.identifier.issnpl
2072-1439
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/144879
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
esophageal cancer
dc.subject.enpl
neoplasms
dc.subject.enpl
esophagectomy
dc.subject.enpl
enhanced recovery after surgery (ERAS)
dc.subject.enpl
thoracic surgery
dc.subtypepl
ReviewArticle
dc.titlepl
Enhanced recovery after surgery (ERAS) programs for esophagectomy
dc.title.journalpl
Journal of Thoracic Disease
dc.typepl
JournalArticle
dspace.entity.type
Publication

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