Colorectal Surgery Clinical Trial
Official title:
The Protocol of Enhanced Recovery After Surgery in Colorectal Surgery
The purpose of this study is to determine whether ERAS is safe and can decrease surgical stress, increase functional recovery and reduce complication rate in colorectal surgery.
The key factors that keep a patient in hospital after uncomplicated major colorectal surgery
include the need for parenteral analgesia(persistent pain), intravenous fluids (persistent
gut dysfunction), and bed rest (persistent lack of mobility). These factors often overlap
and interact to delay return of function. Obviously, postoperative complications will also
prolong the time until recovery and ultimately length of stay. A clinical pathway, called
Enhanced Recovery After Surgery(ERAS), to accelerate recovery after colonic resection based
on a multimodal programme with optimal pain relief, stress reduction with regional
anaesthesia, early enteral nutrition and early mobilisation has demonstrated improvements in
physical performance, pulmonary function, body composition and a marked reduction of length
of stay.
Comparison(s): A total of 500 cases colorectal surgery were randomized to receive ERAS
protocol or the traditional protocol, such as mechanical bowl preparation, intravenous
fluids until bowl movement recovery and bed rest.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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