oru.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Laparoscopic-assisted and open high anterior resection within an ERAS protocol
Department of Surgery, Ersta Hospital, Stockholm, Sweden; Karolinska Institutet, Stockholm, Sweden; Centre for Gastrointestinal Disease, Ersta Hospital, Stockholm, Sweden.
Department of Surgery, Ersta Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Department of Surgery, Ersta Hospital, Stockholm, Sweden; Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Surgery, Örebro University Hospital, Örebro, Sweden; Institute of Molecular Medicine and surgery, Karolinska Institutet, Stockholm, Sweden.ORCID-id: 0000-0003-2636-4745
Vise andre og tillknytning
2012 (engelsk)Inngår i: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 36, nr 5, s. 1154-1161Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Due to potentially superior short-term outcomes compared with open colorectal surgery, laparoscopic surgery is currently being implemented in clinical practice worldwide. In parallel, enhanced recovery after surgery (ERAS) programs are shown to improve postoperative recovery in open colorectal surgery. This study reports outcomes in laparoscopic versus open surgery in conjunction with compliance to the ERAS protocol.

Methods: The association between surgical approach (laparoscopic or open surgery), compliance to the ERAS protocol, postoperative symptoms, complications, and length of stay after surgery was studied. Between January 2007 to December 2010, 114 consecutive patients underwent elective high anterior resection with laparoscopic-assisted (n = 55) or open resection (n = 59). All clinical data (114 variables) were prospectively recorded.

Results: The overall preoperative ERAS-protocol compliance was 77% for both the laparoscopic and open group. Laparoscopic surgery resulted in shorter total length of stay (median 4 vs. 6 days, p = 0.04), earlier pain control (median 2 vs. 3 days, p = 0.008), shorter need for intravenous infusions, improved mobilization on the first postoperative day (POD1), and lower inflammatory response (CRP (POD1) 54 +/- 24 vs. 67 +/- 31 mg/l, p = 0.017) compared with open resection. The trends in fewer postoperative complications (9.1 vs. 16.9%; odds ratio (OR) 0.55; 95% confidence interval (CI) 0.17-1.81) and overall postoperative symptoms delaying recovery (20 vs. 30.5%; OR 0.63; 95% CI 0.22-1.34) in laparoscopic surgery were not statistically significant.

Conclusions: The use of laparoscopy in colorectal surgery within an ERAS protocol results in faster recovery compared with open resection.

sted, utgiver, år, opplag, sider
New York, USA: Springer, 2012. Vol. 36, nr 5, s. 1154-1161
HSV kategori
Forskningsprogram
Kirurgi
Identifikatorer
URN: urn:nbn:se:oru:diva-23359DOI: 10.1007/s00268-012-1519-yISI: 000304096700031PubMedID: 22395344Scopus ID: 2-s2.0-84863722075OAI: oai:DiVA.org:oru-23359DiVA, id: diva2:532303
Forskningsfinansiär
Swedish Research CouncilStockholm County CouncilTorsten Söderbergs stiftelseThe Karolinska Institutet's Research Foundation
Merknad

Funding Agency:

Familjen Erling-Persson's Foundation 

Tilgjengelig fra: 2012-06-11 Laget: 2012-06-11 Sist oppdatert: 2017-12-07bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekstPubMedScopus

Personposter BETA

Ljungqvist, Olle

Søk i DiVA

Av forfatter/redaktør
Ljungqvist, Olle
Av organisasjonen
I samme tidsskrift
World Journal of Surgery

Søk utenfor DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 479 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf