Beyond enhanced recovery after surgery (ERAS): Evolving minimally invasive colectomy from multi-day admissions to same-day discharge

Early discharge is increasingly important in the resource-limited COVID era. Some groups have reported early experiences with same day discharge (SDD) after colectomy. We implemented a routine SDD protocol and report the evolution in our program's outcomes. We studied a retrospective cohort of...

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Bibliographic Details
Published in:The American journal of surgery 2023-05, Vol.225 (5), p.826-831
Main Authors: Vu, Michael M., Curfman, Karleigh R., Blair, Gabrielle E., Shah, Chirag A., Rashidi, Laila
Format: Article
Language:English
Subjects:
Ambulatory
Analgesics
Colectomy - methods
COVID-19
Enhanced Recovery After Surgery
ERAS
Evolution
Hospitals
Humans
Length of Stay
Ostomy
Pandemics
Patient Discharge
Patients
Postoperative Complications - epidemiology
Recovery (Medical)
Retrospective Studies
Robotic colectomy
Robotic surgery
Same day
Statistical analysis
Surgeons
Surgery
Surgical anastomosis
Trends
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Summary:Early discharge is increasingly important in the resource-limited COVID era. Some groups have reported early experiences with same day discharge (SDD) after colectomy. We implemented a routine SDD protocol and report the evolution in our program's outcomes. We studied a retrospective cohort of robotic colorectal surgeries from 2016 to 2022. Colectomies were analyzed as a sub-group and stratified by year. The cohort comprised 535 cases, of which 483 were colectomies. Annual case volume increased from 58 to 180 cases (p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.01.024