{Reference Type}: Systematic Review
{Title}: Enhanced Recovery After Surgery in Laparoscopic Cholecystectomy - A Systematic Review.
{Author}: Istrate AM;Serban D;Doran H;Tudor C;Bobirca F;Davitoiu D;Dumitrescu D;Popescu A;Cherecheanu MP;Tanasescu C;Motofei I;
{Journal}: Chirurgia (Bucur)
{Volume}: 119
{Issue}: 3
{Year}: 2024 Jun
暂无{DOI}: 10.21614/chirurgia.2024.v.119.i.3.p.318
{Abstract}: <B>OBJECTIVE: </B>Enhanced Recovery After Surgery (ERAS) is a modern concept that aims to improve the perioperative patient care by implementing an evidence-based, patient-centered team approach. This paper aims to analyze the outcome, variations and limits of the ERAS-protocols used for laparoscopic cholecystectomy. Methods: We performed a systematic review on PubMed, Google Scholar, Web of Science to document the outcomes of applying various ERAS protocols in laparoscopic cholecystectomy (LC). After applying the inclusion and exclusion criteria, 8 papers, totaling 1453 patients that underwent LC, were included in the qualitative analysis. ERAS-protocols applied in those studies include various pre-, intra- and postoperative measures intended to boost the surgical recovery of the patients and shorten their hospital stay, without exposing them to hazardous encounters. Results: Patients undergoing laparoscopic cholecystectomy within an ERAS-specific protocol are proven to have lower levels of postoperative pain, nausea and vomiting, with no statistically significant risk of postoperative complications. The postoperative results show that ERAS-laparoscopic cholecystectomy is a feasible and safe procedure, that may shorten the postoperative recovery after LC. Conclusions: Further studies are needed to establish a consensus regarding the perioperative protocol, before implementing ERAS for LC in clinical routine.