Our Summary

This research paper looks at two approaches to improving recovery after surgery: Enhanced recovery after surgery (ERAS) and minimally invasive surgery. Both of these techniques have been shown to have positive effects on how well and how quickly patients recover after an operation. Large scientific studies have confirmed the benefits of both using laparoscopy (a type of minimally invasive surgery) and ERAS protocol separately. The researchers suggest that using these two methods together could have an even better result. The paper reviews the latest research that uses both of these techniques at the same time.

FAQs

  1. What is minimally invasive surgery and Enhanced Recovery After Surgery (ERAS)?
  2. What potential positive effects do minimally invasive surgery and ERAS have on surgical outcomes?
  3. What evidence supports the use of laparoscopy and ERAS protocol in minimally invasive surgery?

Doctor’s Tip

A doctor might tell a patient that minimally invasive surgery, such as laparoscopy, can lead to quicker recovery times, less pain, and a lower risk of complications compared to traditional open surgery. They may also recommend following an enhanced recovery after surgery (ERAS) protocol to further optimize the healing process and improve overall outcomes. By combining these two approaches, patients may experience even better results and a smoother recovery journey. It is important to discuss these options with your healthcare provider to determine the best course of action for your specific situation.

Suitable For

Patients who are typically recommended for minimally invasive surgery include those undergoing colorectal surgery, as well as those who are part of an enhanced recovery after surgery (ERAS) protocol. Minimally invasive surgery, such as laparoscopy, has been shown to have positive effects on surgical outcomes and can help reduce the metabolic stress response in patients. Additionally, combining minimally invasive surgery with an ERAS protocol can lead to even better outcomes for patients.

Timeline

Before minimally invasive surgery:

  1. Patient consults with surgeon to discuss treatment options and benefits of minimally invasive surgery.
  2. Preoperative testing and evaluations are conducted to ensure patient is a suitable candidate for the procedure.
  3. Patient undergoes preoperative education and counseling to understand the procedure, potential risks, and postoperative expectations.

After minimally invasive surgery:

  1. Patient experiences less pain and discomfort compared to traditional open surgery.
  2. Shorter hospital stay and faster recovery time, allowing for quicker return to daily activities.
  3. Reduced risk of complications such as infections and blood loss.
  4. Follow-up appointments with surgeon to monitor healing and address any concerns.

What to Ask Your Doctor

  1. How does minimally invasive surgery compare to traditional open surgery in terms of recovery time and post-operative pain?
  2. What are the potential risks and complications associated with minimally invasive surgery?
  3. How will the enhanced recovery after surgery (ERAS) protocol be incorporated into my minimally invasive surgery treatment plan?
  4. What are the expected long-term outcomes and benefits of undergoing minimally invasive surgery with an ERAS protocol?
  5. How experienced is the surgical team in performing minimally invasive procedures with an ERAS protocol?
  6. Will I have access to a multidisciplinary team of healthcare professionals to support me throughout the perioperative period?
  7. How soon after surgery can I expect to resume normal activities and return to work?
  8. What dietary and lifestyle changes should I make to optimize my recovery following minimally invasive surgery with an ERAS protocol?
  9. Will I require any additional follow-up appointments or monitoring after the surgery?
  10. Are there any specific pre-operative preparations or precautions I should be aware of before undergoing minimally invasive surgery with an ERAS protocol?

Reference

Authors: Pache B, Hübner M, Jurt J, Demartines N, Grass F. Journal: J Surg Oncol. 2017 Oct;116(5):613-616. doi: 10.1002/jso.24787. Epub 2017 Oct 29. PMID: 29081065