Introduction. Enhanced recovery after surgery (ERAS) protocols have significantly improved the perioperative care through multimodal strategies. Minimally invasive surgery (MIS) enhances the benefits of ERAS in colorectal surgery.
The objective of the study was to assess the effectiveness of integrating MIS techniques into ERAS protocols in reducing postoperative complications and improving recovery in patients with colorectal neoplasms.
Material and methods. A retrospective study was conducted on 231 colorectal surgery patients between 2016 and 2023, divided into pre-ERAS (n=84) and ERAS (n=147) groups. The outcomes between MIS and open surgery were compared using chi-square and t-tests, with p<0.05 considered significant.
Results. 98.6% of ERAS patients underwent laparoscopic surgery compared to 42.9% in the pre-ERAS group (p<0.001). The ERAS group significantly reduced postoperative complications and hospital stay (5.51±2.11 vs. 10.33±10.11 days, p<0.001). C-reactive protein levels were lower in postoperative day 4 (56.68 vs. 86.40 mg/L, p<0.001).
Conclusions. MIS integrated into ERAS protocols reduces complications and accelerates recovery in colorectal surgery, supporting its widespread application.
Keywords: enhanced recovery after surgery, minimally invasive surgery, colorectal surgery, laparoscopy, ERAS.
Full text sources https://doi.org/10.31688/ABMU.2025.60.1.09
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Address for correspondence:
Andreea-Marilena IONESCU
Address: Department of General Surgery, Medlife Medical Park Hospital, Bucharest, Romania
Email: andreea_860@yahoo.com; Phone: +40 767 457 470
