Enhanced recovery after surgery in colorectal cancer

doi:10.3877/cma.j.issn.2095-3224.2018.05.001

Abstract

Abstract:

As a optimized advanced concept of perioerative period, enhanced recovery after surgery (ERAS) employs a multimodal perioperative care pathway with the aim of accelerating recovery, attenuating the stress response to surgery, reducing complications, shortening the postoperative hospital stay and decreasing hospital expenditure. The ERAS principle has been accepted and expanded extensively in the surgery field, however, the popularization of ERAS in China is still very low, which may be relative to insufficient understanding of ERAS among surgeons and patients. We reviewed the application and latest advancement of ERAS in colorectal cancer, and make a deep analysis of influence on the long-trem survival so as to provide a reference for the widespread application of ERAS in colorectal cancer and make more patients benefit from it.

Key words: Enhanced recovery after surgery, Colorecatal cancer, Long-term survival

Zhaoxu Zheng, Zhao Lu. Enhanced recovery after surgery in colorectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(05): 402-406.

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References 40

[1]	Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015 [J]. CA: A Cancer Journal for Clinicians, 2016, 66(2):115-132.
[2]	Wilmore DW, Kehlet H. Management of patients in fast track surgery [J]. BMJ, 2001, 322(7284):473-476.
[3]	Basse L, Hjort JD, Billesbolle P, et al. A clinical pathway to accelerate recovery after colonic resection [J]. Ann Surg, 2000, 232(1):51-57.
[4]	Wang G, Jiang ZW, Xu J, et al. Fast-track rehabilitation program vs conventional care after colorectal resection: a randomized clinical trial [J]. World J Gastroenterol, 2011, 17(5):671-676.
[5]	Wang H, Zhu D, Liang L, et al. Short-term quality of life in patients undergoing colonic surgery using enhanced recovery after surgery program versus conventional perioperative management [J]. Qual Life Res, 2015, 24(11):2663-2670.
[6]	Carmichael JC, Keller DS, Baldini G, et al. Clinical practice guideline for enhanced recovery after colon and rectal surgery from the American Society of Colon and Rectal Surgeons (ASCRS) and Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) [J]. Surg Endosc, 2017, 31(9):3412-3436.
[7]	中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识(2015版) [J]. 中华消化外科杂志, 2015, 14(8):606-608.
[8]	Papamichael D, Audisio R, Horiot JC, et al. Treatment of the elderly colorectal cancer patient: SIOG expert recommendations [J]. Ann Oncol, 2009, 20(1):5-16.
[9]	Gonzalez-Ayora S, Pastor C, Guadalajara H, et al. Enhanced recovery care after colorectal surgery in elderly patients. Compliance and outcomes of a multicenter study from the Spanish working group on ERAS [J]. Int J Colorectal Dis, 2016, 31(9):1625-1631.
[10]	Bagnall NM, Malietzis G, Kennedy RH, et al. A systematic review of enhanced recovery care after colorectal surgery in elderly patients [J]. Colorectal Dis, 2014, 16(12):947-956.
[11]	Baek SJ, Kim SH, Kim SY, et al. The safety of a ″fast-track″ program after laparoscopic colorectal surgery is comparable in older patients as in younger patients [J]. Surg Endosc, 2013, 27(4):1225-1232.
[12]	Feroci F, Lenzi E, Baraghini M, et al. Fast-track surgery in real life: how patient factors influence outcomes and compliance with an enhanced recovery clinical pathway after colorectal surgery [J]. Surg Laparosc Endosc Percutan Tech, 2013, 23(3):259-265.
[13]	Khan MA, Pandey S. Clinical outcomes of the very elderly undergoing enhanced recovery programmes in elective colorectal surgery [J]. Ann R Coll Surg Engl, 2016, 98(1):29-33.
[14]	Braga M, Beretta L, Pecorelli N, et al. Enhanced recovery pathway in elderly patients undergoing colorectal surgery: is there an effect of increasing ages? Results from the perioperative Italian Society Registry [J]. Updates Surg, 2018, 70(1):7-13.
[15]	Ansaloni L, Andersson RE, Bazzoli F, et al. Guidelenines in the management of obstructing cancer of the left colon: consensus conference of the world society of emergency surgery (WSES) and peritoneum and surgery (PnS) society [J]. World J Emerg Surg, 2010, 5:29.
[16]	Lohsiriwat V. Enhanced recovery after surgery vs conventional care in emergency colorectal surgery [J]. World J Gastroenterol, 2014, 20(38):13950-13955.
[17]	Cirocchi R, Trastulli S, Abraha I, et al. Non-resection versus resection for an asymptomatic primary tumour in patients with unresectable stage IV colorectal cancer [J]. Cochrane Database Syst Rev, 2012, (8):D8997.
[18]	Konyalian VR, Rosing DK, Haukoos JS, et al. The role of primary tumour resection in patients with stage IV colorectal cancer [J]. Colorectal Dis, 2007, 9(5):430-437.
[19]	Pedziwiatr M, Pisarska M, Kisielewski M, et al. Enhanced Recovery After Surgery (ERAS(R)) protocol in patients undergoing laparoscopic resection for stage IV colorectal cancer [J]. World J Surg Oncol, 2015, 13:330.
[20]	Hubner M, Muller S, Schafer M, et al. Impact of the nutritional risk score in fast-track colon surgery [J]. Dig Surg, 2010, 27(5):436-439.
[21]	Lohsiriwat V. The influence of preoperative nutritional status on the outcomes of an enhanced recovery after surgery (ERAS) programme for colorectal cancer surgery [J]. Tech Coloproctol, 2014, 18(11):1075-1080.
[22]	黎介寿. 营养支持治疗与加速康复外科 [J]. 肠外与肠内营养, 2015, 22(2):65-67.
[23]	Martindale RG, Mcclave SA, Taylor B, et al. Perioperative nutrition: what is the current landscape? [J]. JPEN J Parenter Enteral Nutr, 2013, 37(5 Suppl):5S-20S.
[24]	Shussman N, Wexner SD. Current status of laparoscopy for the treatment of rectal cancer [J]. World J Gastroenterol, 2014, 20(41):15125-15134.
[25]	Smith JJ, Garcia-Aguilar J. Advances and challenges in treatment of locally advanced rectal cancer [J]. J Clin Oncol, 2015, 33(16):1797-1808.
[26]	Bonjer HJ, Deijen CL, Abis GA, et al. A randomized trial of laparoscopic versus open surgery for rectal cancer [J]. N Engl J Med, 2015, 372(14):1324-1332.
[27]	Fleshman J, Branda M, Sargent DJ, et al. Effect of Laparoscopic-Assisted Resection vs Open Resection of Stage II or III Rectal Cancer on Pathologic Outcomes: The ACOSOG Z6051 Randomized Clinical Trial [J]. JAMA, 2015, 314(13):1346-1355.
[28]	Stevenson AR, Solomon MJ, Lumley JW, et al. Effect of Laparoscopic-Assisted Resection vs Open Resection on Pathological Outcomes in Rectal Cancer: The ALaCaRT Randomized Clinical Trial [J]. JAMA, 2015, 314(13):1356-1363.
[29]	王锡山. 结直肠肿瘤微创外科的进展 [J]. 中华胃肠外科杂志, 2016, 19(6):621-623.
[30]	Khan S, Gatt M, Macfie J. Enhanced recovery programmes and colorectal surgery: does the laparoscope confer additional advantages? [J]. Colorectal Dis, 2009, 11(9):902-908.
[31]	Vlug MS, Wind J, Hollmann MW, et al. Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study) [J]. Ann Surg, 2011, 254(6):868-875.
[32]	Dhruva RP, Howells S, Haray PN. Does an enhanced recovery programme add value to laparoscopic colorectal resections? [J]. Int J Colorectal Dis, 2015, 30(11):1473-1477.
[33]	Kennedy RH, Francis EA, Wharton R, et al. Multicenter randomized controlled trial of conventional versus laparoscopic surgery for colorectal cancer within an enhanced recovery programme: EnROL [J]. J Clin Oncol, 2014, 32(17):1804-1811.
[34]	Khreiss W, Huebner M, Cima RR, et al. Improving conventional recovery with enhanced recovery in minimally invasive surgery for rectal cancer [J]. Dis Colon Rectum, 2014, 57(5):557-563.
[35]	Wang G, Jiang Z, Zhao K, et al. Immunologic response after laparoscopic colon cancer operation within an enhanced recovery program [J]. J Gastrointest Surg, 2012, 16(7):1379-1388.
[36]	van der Bij GJ, Oosterling SJ, Beelen RH, et al. The perioperative period is an underutilized window of therapeutic opportunity in patients with colorectal cancer [J]. Ann Surg, 2009, 249(5):727-734.
[37]	Feng J, Li K, Li L, et al. The effects of fast-track surgery on inflammation and immunity in patients undergoing colorectal surgery [J]. Int J Colorectal Dis, 2016, 31(10):1675-1682.
[38]	Chen WK, Ren L, Wei Y, et al. General anesthesia combined with epidural anesthesia ameliorates the effect of fast-track surgery by mitigating immunosuppression and facilitating intestinal functional recovery in colon cancer patients [J]. Int J Colorectal Dis, 2015, 30(4):475-481.
[39]	Gustafsson UO, Oppelstrup H, Thorell A, et al. Adherence to the ERAS protocol is Associated with 5-Year Survival After Colorectal Cancer Surgery: A Retrospective Cohort Study [J]. World J Surg, 2016, 40(7):1741-1747.
[40]	Asklid D, Segelman J, Gedda C, et al. The impact of perioperative fluid therapy on short-term outcomes and 5-year survival among patients undergoing colorectal cancer surgery - A prospective cohort study within an ERAS protocol [J]. Eur J Surg Oncol, 2017, 43(8):1433-1439.

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