Publication: Impact of enhanced recovery program on colorectal cancer surgery
Issued Date
2014-01-01
Resource Type
ISSN
2476762X
15137368
15137368
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2-s2.0-84901999617
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Mahidol University
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SCOPUS
Bibliographic Citation
Asian Pacific Journal of Cancer Prevention. Vol.15, No.8 (2014), 3825-3828
Suggested Citation
Varut Lohsiriwat Impact of enhanced recovery program on colorectal cancer surgery. Asian Pacific Journal of Cancer Prevention. Vol.15, No.8 (2014), 3825-3828. doi:10.7314/APJCP.2014.15.8.3825 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/33370
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Title
Impact of enhanced recovery program on colorectal cancer surgery
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Abstract
Surgical outcomes of colorectal cancer treatment depend not only on good surgery and tumor biology but also on an optimal perioperative care. The enhanced recovery program (ERP)-a multidisciplinary and multimodal approach, or so called 'fast-track surgery'-has been designed to minimize perioperative and intraoperative stress responses, and to support the recovery of organ function aiming to help patients getting better sooner after surgery. Compared with conventional postoperative care, the enhanced recovery program results in quicker patient recovery, shorter length of hospital stay, faster recovery of gastrointestinal function, and a lower incidence of postoperative complications. Although not firmly established as yet, the enhanced recovery program after surgery could be of oncological benefit in colorectal cancer patients because it can enhance recovery, maintain integrity of the postoperative immune system, increase feasibility of postoperative chemotherapy, and shorten the time interval from surgery to chemotherapy. This commentary summarizes short-term outcomes and potential long-term benefits of enhanced recovery programs in the treatment of colorectal cancer.