Department of Digestive Surgery, Doctor Peset University Hospital, Valencia, Spain.
Minim Invasive Ther Allied Technol. 2022 Feb;31(2):269-275. doi: 10.1080/13645706.2020.1796708. Epub 2020 Jul 27.
Enhanced recovery after bariatric surgery (ERABS) protocols consist of a combination of several preoperative, intraoperative and postoperative methods for the management of the surgical patient. The aim of this study was to evaluate the impact of the ERABS protocol on length of hospital stay (LOS) and postoperative complications.
Retrospective study of patients who underwent elective Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) between 2015 and 2018. From 2015 to 2017, patients received traditional management (pre-ERABS group). Those who underwent surgery during 2018 were managed with our ERABS protocol (ERABS group). The primary outcome was LOS. Secondary outcomes were readmission rate and 30-day postoperative complications.
A total of 200 patients who received RYGB and SG between 2015 and 2018 were retrospectively analyzed; we included 120 patients in the pre-ERABS group and 80 in the ERABS group. The median LOS was four days [2-49] in the pre-ERABS group, as compared with two days [1-26] in the ERABS group ( < .0001). No significant differences were found in postoperative complication rates, readmissions, and mortality.
Implementation of the ERABS protocol is related to a better postoperative recovery and allows an early discharge without increasing postoperative complications, readmissions or mortality.
减重手术术后加速康复（ERABS）方案由一系列术前、术中和术后管理手术患者的方法组成。本研究旨在评估 ERABS 方案对住院时间（LOS）和术后并发症的影响。
回顾性分析 2015 年至 2018 年接受择期胃旁路术（RYGB）和袖状胃切除术（SG）的患者。2015 年至 2017 年，患者接受传统管理（ERABS 前组）。2018 年接受手术的患者接受 ERABS 方案管理（ERABS 组）。主要结局是 LOS。次要结局是再入院率和 30 天术后并发症。
回顾性分析了 2015 年至 2018 年间接受 RYGB 和 SG 的 200 例患者；我们将 120 例患者纳入 ERABS 前组，80 例纳入 ERABS 组。ERABS 前组的 LOS 中位数为 4 天[2-49]，ERABS 组为 2 天[1-26]（<0.0001）。术后并发症发生率、再入院率和死亡率无显著差异。
实施 ERABS 方案与术后更好的恢复相关，并可在不增加术后并发症、再入院率或死亡率的情况下提前出院。
