eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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1/2015
vol. 10
 
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abstract:
Original paper

Enhanced recovery after colorectal surgery in elderly patients

Mikhail Kisialeuski
,
Michał Pędziwiatr
,
Maciej Matłok
,
Piotr Major
,
Marcin Migaczewski
,
Damian Kołodziej
,
Anna Zub-Pokrowiecka
,
Magdalena Pisarska
,
Piotr Budzyński
,
Andrzej Budzynski

Videosurgery Miniinv 2015; 10 (1): 30–36
DOI: https://doi.org/10.5114/wiitm.2015.48697
Online publish date: 2015/01/27
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Introduction: The elderly will soon constitute 20% of the population. Their number is constantly rising, particularly in developed countries. It was found that they particularly benefit from the use of minimally invasive surgery. The Enhanced Recovery After Surgery (ERAS) protocol may further improve clinical outcomes in this group of patients.

Aim: To assess the implementation of the ERAS protocol in elderly patients submitted to laparoscopic colorectal surgery.

Material and methods: Ninety-two patients who underwent elective laparoscopic colorectal surgery were included in the study. Patients were divided into group 1 (≤ 65 years) and group 2 (> 65 years). Perioperative care was based on ERAS Society guidelines. Length of hospital stay, time of first stool passage, perioperative complications and readmissions were analyzed.

Results: Group 2 patients had higher ASA grades in comparison to group 1. In all cases, oral fluid intake started on the day of surgery. The groups did not differ according to oral fluid tolerance, first stool passage time or length of hospital stay. Number and character of perioperative complications were comparable between the two groups. Four patients were readmitted within 30 days after discharge. One patient required reoperation.

Conclusions: Implementation of the ERAS protocol is possible regardless of the age of surgical patients. Its use in the elderly allows the length of hospitalization to be shortened and is not associated with higher risk of postoperative complications or readmissions.
keywords:

postoperative care, fast-track, enhanced recovery, evidence-based medicine
  
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