Feasibility of Enhanced Recovery After Surgery Protocols Implemented Perioperatively in Endoscopic Submucosal Dissection for Early Gastric Cancer: A Single-Center Retrospective Study.

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  • Author(s): Li J;Li J;Li J;Li J; Kang G; Kang G; Liu T; Liu T; Liu Z; Liu Z; Guo T; Guo T; Guo T
  • Source:
    Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2023 Jan; Vol. 33 (1), pp. 74-80. Date of Electronic Publication: 2022 Jun 20.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9706293 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9034 (Electronic) Linking ISSN: 10926429 NLM ISO Abbreviation: J Laparoendosc Adv Surg Tech A Subsets: MEDLINE
    • Publication Information:
      Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1997-
    • Subject Terms:
    • Abstract:
      Background: Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) has advantages over traditional radical gastrectomy. We investigated whether enhanced recovery after surgery (ERAS) protocols are appropriate in the ESD perioperative period. Materials and Methods: We screened 129 consecutive patients, and 12 were excluded. All study patients underwent ESD for EGC. Of the 117 included patients, 57 received traditional perioperative care between January 2017 and December 2018, and 60 patients received perioperative care according to ERAS protocols between January 2019 and September 2020. The primary study endpoint was ESD-related complications. Secondary endpoints included the following postoperative parameters: anal exhaust time, incidence of nausea or vomiting, length of hospitalization, fever rate, abdominal pain on the visual analog scale (VAS), and reported perioperative satisfaction. Results: Complications were comparable between the 2 groups. In the ERAS group, no patients experienced delayed bleeding or perforation. One traditional group patient bled, and one perforated. Postoperative anal exhaust time, nausea or vomiting incidence, hospitalization, fever rate, and VAS pain scores were significantly lower, and perioperative satisfaction rate was significantly higher in the ERAS group. Conclusions: ERAS protocols are both feasible and safe for patients undergoing ESD. ERAS protocols enhance the advantages of ESD for EGC without increasing complications.
    • Contributed Indexing:
      Keywords: complications; early gastric cancer; endoscopic submucosal dissection; enhanced recovery after surgery
    • Publication Date:
      Date Created: 20220620 Date Completed: 20230110 Latest Revision: 20230111
    • Publication Date:
      20240105
    • Accession Number:
      10.1089/lap.2022.0269
    • Accession Number:
      35723625