Background Methods Results Conclusions

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181 (±57.6).
Marco  Giacome+,  Carmine  Tondi,  Stefano  Sala,  Luca  Leonardi,  Silvia  Neri,  Giuseppe  Colucci   General  Surgery  Unit,  Ospedale  di  Sassuolo  (MO),  Italy  

Background  

Category

Gender Male (%) Age (years) Mean (SD) ASA 1-2 (%) 3-4 (%) Previous Surgery (%) LOS (days) Mean (SD) Operative time (min) Mean (SD) Complications Overall (%) Clavien-Dindo I-II (%) Clavien-Dindo III-V (%) Leaks (%) 30-day Readmission (%) 30-day Reoperation (%) Transfusions (%)

  Laparoscopy  and  Enhanced  Recovery  Programs  represent  the   major  innovaGons  in  colorectal  surgery  in  the  last  20  years.  

  Both  reduce  post-­‐surgical  stress  response  and  improve   clinical  outcomes,  shortening  hospital  stay.  

  The  aim  of  this  study  was  to  assess  their  impact  on  short-­‐ term  outcomes  aNer  colorectal  resecGons  for  cancer.  

Methods  

 

Inclusion  criteria:  paGents  undergoing  a  segmental   colorectal  resecGon  for  oncological  reasons  in  the  General   Surgery  Unit  of  Ospedale  di  Sassuolo  in  24  months.  

 

All  the  paGents  treated  with  a  local  Enhanced  Recovery   protocol,  derived  from  ERAS®  Program.  

 

Primary  outcome:  length  of  stay  (LOS)  in  hospital  aNer   surgery.  

 

Open/Converted (n = 18)

Laparoscopy (n = 129)

P

8 (44.4)

69 (53.5)

0.47

71.4 (±11.2)

70.8 (±10.6)

0.83 0.90

12 (66.7) 6 (33.3) 8 (44.4)

88 (68.2) 41 (31.8) 46 (35.7)

0.73

12 (±4.9)

7 (±3.3)