Background: This study aims to examine if a standardized enhanced recovery program (ERP) could reduce the length of stay (LOS) after minimally invasive esophagectomy (MIO) compared to the earlier applied recovery program without increasing the risk of postoperative complications and readmissions. Methods: Retrospective study of patients with esophageal and gastroesophageal junction cancer who have had an uncomplicated postoperative stay following MIO. Patients had followed two different postoperative recovery programs according to their year of surgery (2016 versus 2018). Results: 48 patients in 2016 and 42 patients in 2018 were included. Patients were comparable on demographic factors. The median LOS was reduced from 9 days in 2016 to 8 days in 2018 (p<0.001). In 2018, 27 patients (64.3%) fulfilled the aim of discharge to their own home on day 8 after surgery. There was no significant difference (p>0.05) between the two groups in the risk of complications (Clavien-Dindo degree 0-2). Two patients in 2016 (4.2%) and two patients in 2018 (4.8%) were readmitted within 7 days after discharge (not significant). There was no in-hospital mortality or 30-day mortality in either of the two groups. Conclusion: The introduction of an ERP at our institution reduced the median postoperative stay after MIO by one day without increasing the risk of complications and readmittance. Further reduction might be obtained if oral feeding is allowed earlier.
| Published in | Journal of Surgery (Volume 9, Issue 2) |
| DOI | 10.11648/j.js.20210902.12 |
| Page(s) | 53-57 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Enhanced Postsurgical Recovery Esophagectomy, Neoplasms, Operative Surgical Procedure, Laparoscopy, Thoracoscopy
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APA Style
Anna Katrine Nyman Rasmussen, Michael Hareskov Larsen, Alan Patrick Ainsworth. (2021). Standardized Postoperative Recovery Reduces in-Hospital Stay After Minimally Invasive Esophagectomy. Journal of Surgery, 9(2), 53-57. https://doi.org/10.11648/j.js.20210902.12
ACS Style
Anna Katrine Nyman Rasmussen; Michael Hareskov Larsen; Alan Patrick Ainsworth. Standardized Postoperative Recovery Reduces in-Hospital Stay After Minimally Invasive Esophagectomy. J. Surg. 2021, 9(2), 53-57. doi: 10.11648/j.js.20210902.12
AMA Style
Anna Katrine Nyman Rasmussen, Michael Hareskov Larsen, Alan Patrick Ainsworth. Standardized Postoperative Recovery Reduces in-Hospital Stay After Minimally Invasive Esophagectomy. J Surg. 2021;9(2):53-57. doi: 10.11648/j.js.20210902.12
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Download@article{10.11648/j.js.20210902.12,
author = {Anna Katrine Nyman Rasmussen and Michael Hareskov Larsen and Alan Patrick Ainsworth},
title = {Standardized Postoperative Recovery Reduces in-Hospital Stay After Minimally Invasive Esophagectomy},
journal = {Journal of Surgery},
volume = {9},
number = {2},
pages = {53-57},
doi = {10.11648/j.js.20210902.12},
url = {https://doi.org/10.11648/j.js.20210902.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210902.12},
abstract = {Background: This study aims to examine if a standardized enhanced recovery program (ERP) could reduce the length of stay (LOS) after minimally invasive esophagectomy (MIO) compared to the earlier applied recovery program without increasing the risk of postoperative complications and readmissions. Methods: Retrospective study of patients with esophageal and gastroesophageal junction cancer who have had an uncomplicated postoperative stay following MIO. Patients had followed two different postoperative recovery programs according to their year of surgery (2016 versus 2018). Results: 48 patients in 2016 and 42 patients in 2018 were included. Patients were comparable on demographic factors. The median LOS was reduced from 9 days in 2016 to 8 days in 2018 (p0.05) between the two groups in the risk of complications (Clavien-Dindo degree 0-2). Two patients in 2016 (4.2%) and two patients in 2018 (4.8%) were readmitted within 7 days after discharge (not significant). There was no in-hospital mortality or 30-day mortality in either of the two groups. Conclusion: The introduction of an ERP at our institution reduced the median postoperative stay after MIO by one day without increasing the risk of complications and readmittance. Further reduction might be obtained if oral feeding is allowed earlier.},
year = {2021}
}
TY - JOUR T1 - Standardized Postoperative Recovery Reduces in-Hospital Stay After Minimally Invasive Esophagectomy AU - Anna Katrine Nyman Rasmussen AU - Michael Hareskov Larsen AU - Alan Patrick Ainsworth Y1 - 2021/03/12 PY - 2021 N1 - https://doi.org/10.11648/j.js.20210902.12 DO - 10.11648/j.js.20210902.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 53 EP - 57 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20210902.12 AB - Background: This study aims to examine if a standardized enhanced recovery program (ERP) could reduce the length of stay (LOS) after minimally invasive esophagectomy (MIO) compared to the earlier applied recovery program without increasing the risk of postoperative complications and readmissions. Methods: Retrospective study of patients with esophageal and gastroesophageal junction cancer who have had an uncomplicated postoperative stay following MIO. Patients had followed two different postoperative recovery programs according to their year of surgery (2016 versus 2018). Results: 48 patients in 2016 and 42 patients in 2018 were included. Patients were comparable on demographic factors. The median LOS was reduced from 9 days in 2016 to 8 days in 2018 (p0.05) between the two groups in the risk of complications (Clavien-Dindo degree 0-2). Two patients in 2016 (4.2%) and two patients in 2018 (4.8%) were readmitted within 7 days after discharge (not significant). There was no in-hospital mortality or 30-day mortality in either of the two groups. Conclusion: The introduction of an ERP at our institution reduced the median postoperative stay after MIO by one day without increasing the risk of complications and readmittance. Further reduction might be obtained if oral feeding is allowed earlier. VL - 9 IS - 2 ER -
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