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Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas
To study the efficacy of the enhanced recovery after surgery (ERAS) program in laparoscopic radical gastrectomy for stomach carcinomas. From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopic-assisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jil...
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Published in: | World journal of gastroenterology : WJG 2015-12, Vol.21 (47), p.13339-13344 |
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creator | Abdikarim, Ikram Cao, Xue-Yuan Li, Shou-Zhen Zhao, Yin-Quan Taupyk, Yerlan Wang, Quan |
description | To study the efficacy of the enhanced recovery after surgery (ERAS) program in laparoscopic radical gastrectomy for stomach carcinomas.
From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopic-assisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jilin University were enrolled in this randomized controlled trial. (Clinical Trials.gov, registration ID: NCT01955096). The subjects were divided into the ERAS program group and the conventional control group. The clinical characteristics, recovery variables, and complications of patients were analyzed.
The time to first ambulation, oral food intake, and time to defecation were significantly shorter in the ERAS group (n = 30), compared to the conventional group (n = 31; P = 0.04, 0.003, and 0.01, respectively). The postoperative hospital stay was less in the ERAS group (6.8 ± 1.1 d) compared to the conventional group (7.7 ± 1.1 d) (P = 0.002). There was no significant difference in postoperative complications between the ERAS (1/30) and conventional care groups (2/31) (P = 1.00). There were no readmissions or mortality during the 30-d follow-up period.
The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer. |
doi_str_mv | 10.3748/wjg.v21.i47.13339 |
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From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopic-assisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jilin University were enrolled in this randomized controlled trial. (Clinical Trials.gov, registration ID: NCT01955096). The subjects were divided into the ERAS program group and the conventional control group. The clinical characteristics, recovery variables, and complications of patients were analyzed.
The time to first ambulation, oral food intake, and time to defecation were significantly shorter in the ERAS group (n = 30), compared to the conventional group (n = 31; P = 0.04, 0.003, and 0.01, respectively). The postoperative hospital stay was less in the ERAS group (6.8 ± 1.1 d) compared to the conventional group (7.7 ± 1.1 d) (P = 0.002). There was no significant difference in postoperative complications between the ERAS (1/30) and conventional care groups (2/31) (P = 1.00). There were no readmissions or mortality during the 30-d follow-up period.
The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v21.i47.13339</identifier><identifier>PMID: 26715818</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Aged ; Carcinoma - secondary ; Carcinoma - surgery ; China ; Clinical Trials Study ; Female ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Humans ; Laparoscopy - adverse effects ; Length of Stay ; Lymph Node Excision ; Lymphatic Metastasis ; Male ; Middle Aged ; Postoperative Care ; Prospective Studies ; Recovery of Function ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Time Factors ; Treatment Outcome</subject><ispartof>World journal of gastroenterology : WJG, 2015-12, Vol.21 (47), p.13339-13344</ispartof><rights>The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved. 2015</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-36815615e6ce7cab33ed23e0c2c610f60bca2ce76b4d71968a257d064f4778113</citedby><cites>FETCH-LOGICAL-c399t-36815615e6ce7cab33ed23e0c2c610f60bca2ce76b4d71968a257d064f4778113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4679767/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4679767/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26715818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abdikarim, Ikram</creatorcontrib><creatorcontrib>Cao, Xue-Yuan</creatorcontrib><creatorcontrib>Li, Shou-Zhen</creatorcontrib><creatorcontrib>Zhao, Yin-Quan</creatorcontrib><creatorcontrib>Taupyk, Yerlan</creatorcontrib><creatorcontrib>Wang, Quan</creatorcontrib><title>Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas</title><title>World journal of gastroenterology : WJG</title><addtitle>World J Gastroenterol</addtitle><description>To study the efficacy of the enhanced recovery after surgery (ERAS) program in laparoscopic radical gastrectomy for stomach carcinomas.
From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopic-assisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jilin University were enrolled in this randomized controlled trial. (Clinical Trials.gov, registration ID: NCT01955096). The subjects were divided into the ERAS program group and the conventional control group. The clinical characteristics, recovery variables, and complications of patients were analyzed.
The time to first ambulation, oral food intake, and time to defecation were significantly shorter in the ERAS group (n = 30), compared to the conventional group (n = 31; P = 0.04, 0.003, and 0.01, respectively). The postoperative hospital stay was less in the ERAS group (6.8 ± 1.1 d) compared to the conventional group (7.7 ± 1.1 d) (P = 0.002). There was no significant difference in postoperative complications between the ERAS (1/30) and conventional care groups (2/31) (P = 1.00). There were no readmissions or mortality during the 30-d follow-up period.
The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer.</description><subject>Aged</subject><subject>Carcinoma - secondary</subject><subject>Carcinoma - surgery</subject><subject>China</subject><subject>Clinical Trials Study</subject><subject>Female</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Length of Stay</subject><subject>Lymph Node Excision</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Care</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpVkU1PHDEMhiNEBVvgB3Cp5shltnEyE89ckCoEFAmpl_ZWKfJ6MrtBs5MlmV20_57wUVROtmW_ry0_QpyDnGusmu9PD8v5TsHcVzgHrXV7IGZKQVuqppKHYgZSYtlqhcfia0oPUiqta3UkjpVBqBtoZuLv9biikV1XRMdh5-K-oH5ysUjbuHypnvy0KgbaUAyJw8ZzEanzTEOxpDRl0RTW-6IPWZEz4lXBFNmPOU-n4ktPQ3Jn7_FE_Lm5_n31s7z_dXt39eO-ZN22U6lNA7WB2hl2yLTQ2nVKO8mKDcjeyAWTyi2zqDqE1jSkauykqfoKsQHQJ-LyzXezXaxdx26cIg12E_2a4t4G8vZzZ_Qruww7Wxls0WA2uHg3iOFx69Jk1z6xGwYaXdgmC1grbBDB5FF4G-X8kBRd_7EGpH2hYjMVm6nYTMW-Usmab__f96H4h0E_A2N7jLc</recordid><startdate>20151221</startdate><enddate>20151221</enddate><creator>Abdikarim, Ikram</creator><creator>Cao, Xue-Yuan</creator><creator>Li, Shou-Zhen</creator><creator>Zhao, Yin-Quan</creator><creator>Taupyk, Yerlan</creator><creator>Wang, Quan</creator><general>Baishideng Publishing Group Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151221</creationdate><title>Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas</title><author>Abdikarim, Ikram ; Cao, Xue-Yuan ; Li, Shou-Zhen ; Zhao, Yin-Quan ; Taupyk, Yerlan ; Wang, Quan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-36815615e6ce7cab33ed23e0c2c610f60bca2ce76b4d71968a257d064f4778113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Carcinoma - secondary</topic><topic>Carcinoma - surgery</topic><topic>China</topic><topic>Clinical Trials Study</topic><topic>Female</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastrectomy - methods</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Length of Stay</topic><topic>Lymph Node Excision</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Care</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Abdikarim, Ikram</creatorcontrib><creatorcontrib>Cao, Xue-Yuan</creatorcontrib><creatorcontrib>Li, Shou-Zhen</creatorcontrib><creatorcontrib>Zhao, Yin-Quan</creatorcontrib><creatorcontrib>Taupyk, Yerlan</creatorcontrib><creatorcontrib>Wang, Quan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdikarim, Ikram</au><au>Cao, Xue-Yuan</au><au>Li, Shou-Zhen</au><au>Zhao, Yin-Quan</au><au>Taupyk, Yerlan</au><au>Wang, Quan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2015-12-21</date><risdate>2015</risdate><volume>21</volume><issue>47</issue><spage>13339</spage><epage>13344</epage><pages>13339-13344</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>To study the efficacy of the enhanced recovery after surgery (ERAS) program in laparoscopic radical gastrectomy for stomach carcinomas.
From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopic-assisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jilin University were enrolled in this randomized controlled trial. (Clinical Trials.gov, registration ID: NCT01955096). The subjects were divided into the ERAS program group and the conventional control group. The clinical characteristics, recovery variables, and complications of patients were analyzed.
The time to first ambulation, oral food intake, and time to defecation were significantly shorter in the ERAS group (n = 30), compared to the conventional group (n = 31; P = 0.04, 0.003, and 0.01, respectively). The postoperative hospital stay was less in the ERAS group (6.8 ± 1.1 d) compared to the conventional group (7.7 ± 1.1 d) (P = 0.002). There was no significant difference in postoperative complications between the ERAS (1/30) and conventional care groups (2/31) (P = 1.00). There were no readmissions or mortality during the 30-d follow-up period.
The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>26715818</pmid><doi>10.3748/wjg.v21.i47.13339</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Carcinoma - secondary Carcinoma - surgery China Clinical Trials Study Female Gastrectomy - adverse effects Gastrectomy - methods Humans Laparoscopy - adverse effects Length of Stay Lymph Node Excision Lymphatic Metastasis Male Middle Aged Postoperative Care Prospective Studies Recovery of Function Stomach Neoplasms - pathology Stomach Neoplasms - surgery Time Factors Treatment Outcome |
title | Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas |
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