Impact of laparoscopy on adherence to an enhanced recovery pathway and readiness for discharge in elective colorectal surgery: Results from the PeriOperative Italian Society registry

Impact of laparoscopy on adherence to an enhanced recovery pathway and readiness for discharge in elective colorectal surgery: Results from the PeriOperative Italian Society registry

Braga M, Borghi F, Scatizzi M, Missana G, Guicciardi MA, Bona S, Ficari F, Maspero M, Pecorelli N; PeriOperative Italian Society. Surg Endosc. 2017 Nov;31(11):4393-4399.

What is already known:

A lot of studies are single centre with small patient numbers, so studies using national databases with much larger patient numbers are to be welcomed.

What this paper adds:

Prospectively collected data from 13 different Italian hospitals were entered in an electronic national registry. Over 700 patients were included and were divided into 3 groups. Laparoscopic surgery, conversion to open surgery and primary open surgery. They found that patients undergoing laparoscopic surgery were more likely to successfully adhere to all the elements of the ERP; and multivariate analysis showed that having laparoscopic surgery was an independent factor for successful adherence. This was despite those undergoing open surgery being generally older and had higher rates of stoma formation.

Chris Jones, Guildford. @chrisnjones