2 . 2017

Implementation of Enhanced Recovery after Surgery (ERAS) protocol in patients after esophagectomy (analytical review)

Abstract

The author describes clinical outcomes after implementation of ERAS protocol following esophagectomy. Review includes trials performed from 1990 till 2015 describing clinical outcomes after esophagectomy (minimaly invasive esophagectomy, Ivor Lewis, McKeown) followed by implementation of Enhanced Recovery after Surgery (ERAS) protocol. Every clinical pathway contained minimum 3 elements from ERAS protocol and described 2 and more outcomes such as duration of intensive care unit stay, the incidence of postoperative morbidity and mortality, duration of hospital stay, the incidence of 30-day readmission and the protocol failure. Despite the number of reviewed articles is few, and the methodological quality is different, most trials confirm that implementation of standardized clinical care pathway following esophagectomy is safe, effective, and can reduce hospital stay.

Keywords:enhanced recovery after surgery (ERAS), esophagectomy, clinical pathway

Clin. Experiment. Surg. Petrovsky J. 2017; 5 (2): 83–92.

DOI: 10.24411/2308-1198-2017-00038

Received: 17.02.2017. Accepted: 19.04.2017.

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