Impact of enhanced recovery on oncological outcomes following minimally invasive surgery for rectal cancer

Background Oncological outcomes of locally advanced rectal cancer depend on the quality of surgical and oncological management. Enhanced recovery pathways (ERPs) have yet to be assessed for their oncological impact when used in combination with minimally invasive surgery. This study assessed outcome...

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Bibliographic Details
Published in:British journal of surgery 2019-06, Vol.106 (7), p.922-929
Main Authors: Quiram, B. J., Crippa, J., Grass, F., Lovely, J. K., Behm, K. T., Colibaseanu, D. T., Merchea, A., Kelley, S. R., Harmsen, W. S., Larson, D. W.
Format: Article
Language:English
Subjects:
Colorectal cancer
Laparoscopy
Morbidity
Surgery
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Summary:Background Oncological outcomes of locally advanced rectal cancer depend on the quality of surgical and oncological management. Enhanced recovery pathways (ERPs) have yet to be assessed for their oncological impact when used in combination with minimally invasive surgery. This study assessed outcomes with or without an ERP in patients with rectal cancer. Methods This was a retrospective analysis of all consecutive adult patients who underwent elective minimally invasive surgery for primary rectal adenocarcinoma with curative intent between February 2005 and April 2018. Both laparoscopic and robotic procedures were included. Short‐term morbidity and overall survival were compared between patients treated according to the institutional ERP and those who received conventional care. Results A total of 600 patients underwent minimally invasive surgery, of whom 320 (53·3 per cent) were treated according to the ERP and 280 (46·7 per cent) received conventional care. ERP was associated with less overall morbidity (34·7 versus 54·3 per cent; P 
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.11131