Enhanced recovery after surgery in colorectal cancer. Instituto Nacional de Enfermedades Neoplásicas

Keywords: Colorectal Surgery, Colorectal Cancer, Enhanced Recovery After Surgery, Perú

Abstract

Aim: Describe and analyze the safety of the “Enhanced Recovery After Surgery” (ERAS) protocol in elective procedures for colorectal cancer. Materials and Methods: Observational study of 272 patients with colorectal cancer who underwent elective surgery from January 2019 to September 2020 at the “Instituto Nacional de Enfermedades Neoplásicas”, Peru, were retrospectively collected. U Mann-Whitney test, Pearson chi-square test and odds ratios (OR) were used for statistical analysis. Results: 90 patients were included in the ERAS program with a median postoperative hospital stay of 3 days (range 3-19). Laparoscopic surgery was performed in 53% of the patients with significantly shorter postoperative hospital stay in comparison with the patients who had open surgery (p=0,035). Oral food intake less than 24 hours postoperatively was 91%, and early mobilization in 89% of the cases. The postoperative complication rate was 29%, higher in rectal/anus resection than in colonic resections (40% vs 20%, p=0,043) (OR=2,67, CI 95%: 1,02 – 7,01). Eight patients had a major postoperative complication, four with anastomotic leakage and four required hospital readmission. Conclusions: The perioperative management of ERAS program for colorectal cancer in elective surgery is safe and feasible with acceptable morbimortality risk.

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Author Biographies

Andrés Guevara Jabiles, Departamento de Cirugía de Abdomen INEN. Lima, Perú.

Médico especialista en cirugía oncológica

Edith Elizabeth Cedeño Ascoy, Departamento de Anestesiología, Analgesia, Reanimación y Centro Quirúrgico INEN. Lima, Perú.

Médico especialista en anestesiología

Francisco Manuel Berrospi Espinoza, Departamento de Cirugía de Abdomen INEN. Lima, Perú.

Médico especialista en cirugía oncológica

Elena Aguilar Onofre, Departamento de Anestesiología, Analgesia, Reanimación y Centro Quirúrgico INEN. Lima, Perú.

Médico especialista en anestesiología

Iván Chávez Passiuri, Departamento de Cirugía de Abdomen INEN. Lima, Perú.

Médico especialista en cirugía oncológica

Carlos Luque-Vásquez Vásquez, Departamento de Cirugía de Abdomen INEN. Lima, Perú.

Médico especialista en cirugía oncológica

Juan Francisco Olivos Gonzáles, Departamento de Cirugía de Abdomen INEN. Lima, Perú.

Médico especialista en cirugía general

Raúl Mantilla Quispe, Área de Estadística del Departamento de Cirugía del INEN. Lima, Perú.

Bachiller en estadística

Eloy Ruiz Figueroa, Departamento de Cirugía de Abdomen INEN. Lima, Perú.

Médico especialista en cirugía oncológica

Eduardo Payet Meza, Departamento de Cirugía de Abdomen INEN. Lima, Perú.

Médico especialista en cirugía oncológica

Published
2021-08-23
How to Cite
1.
Guevara Jabiles A, Cedeño Ascoy EE, Berrospi Espinoza FM, Aguilar Onofre E, Chávez Passiuri I, Luque-Vásquez Vásquez C, Olivos Gonzáles JF, Mantilla Quispe R, Ruiz Figueroa E, Payet Meza E. Enhanced recovery after surgery in colorectal cancer. Instituto Nacional de Enfermedades Neoplásicas. Acta Med Peru [Internet]. 2021Aug.23 [cited 2024Jun.25];38(2). Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/1922
Section
ORIGINAL ARTICLES