Implementation of an Enhanced Recovery After Surgery (ERAS ...
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Recovery After Surgery (ERAS) Society, for Perioperative Care, The. European Society .... St Mark's Hospital, North West London Hospital NHS Trust,. Harrow, UK .... Data from RCTs indicate accelerated recovery, and preliminary data from a.
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Implementation of an Enhanced Recovery After Surgery (ERAS ...
different patterns of recovery. Future research should focus on the use of modern psychometric methods (e.g. Rasch analysis) to improve the sensitivity of recovery-specific patient-reported outcomes. Disclosure of interest: None declared. P036. ROBOTIC RIGHT HEMICOLECTOMY WITH INTRACORPOREAL ANASTOMOSIS COMPARED WITH LAPAROSCOPIC EXTRACORPOREAL ANASTOMOSIS: IMPACT ON ENHANCED RECOVERY Katherine Powers*, Reza Gamagami. Progressive Surgical Associates, New Lenox, United States Objectives: Laparoscopic surgery improves the outcome of enhanced recovery after colorectal surgery. The majority of laparoscopic right hemicolectomies are performed with an extracorporeal anastomosis. Robotic approach has overcome the technical difficulty with intracorporeal anastomosis. This study aims to compare postoperative outcomes of standard laparoscopic extracorporeal anastomosis to robotic intracorporeal anastomosis and its impact on enhanced recovery. Methods: A comparative retrospective review of a prospectively maintained database from a single surgeon/single institution with both laparoscopic and robotic anastomosis technique for laparoscopic right hemicolectomies. A total of 72 consecutive patients, operated for neoplasm of the right colon were identified over a 5-year period. The robotic intracorporeal group included 54 patients. The laparoscopic extracorporeal group included 18 patients. Results: There was no significant difference in terms of age, sex, BMI or ASA score between the two groups. Intracorporeal anastomosis was associated with less overall postoperative complications. The robotic intracorporeal group had a decreased rate of surgical site infections (2% versus 15%; p
