Enhanced recovery after surgery (ERAS) versus standard recovery for gastric cancer patients: The evidences and the issues |
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| Affiliation: | 1. Digestive Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy;2. Oncology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy;3. Nutrition in Oncology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy;4. Università Cattolica del Sacro Cuore, Rome, Italy;1. Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, United States;2. Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States;3. Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States;1. Xi''an Medical University, Xi''an, China;2. Department of General Surgery, Shaanxi Provincial People''s Hospital, Xi''an, China;1. Humanitas University, Via Rita Levi Montalcini, Pieve Emanuele (MI), Italy;2. Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano (MI), Italy;3. Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom;4. Department of Neurosurgery, International Neuroscience Institute, Hannover, Germany;5. Department of Neurosurgery, Strasbourg University Hospitals, Strasbourg, France;1. Department of Gastric Surgery, National Cancer Center Hospital, Tokyo, Japan;2. Japan Clinical Oncology Group Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan;3. Department of Gastrointestinal Surgery, Kanagawa Cancer Center Hospital, Yokohama, Japan;4. Division of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan;5. Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan;6. Department of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan;7. Department of Surgery, Hakodate Goryoukaku Hospital, Hakodate, Japan;8. Department of Surgery, National Hospital Organization, Sendai Medical Center, Sendai, Japan;9. Department of Surgery, Iwate Medical University, Morioka, Japan;10. Department of Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan;11. Division of Upper Gastrointestinal Surgery, Department of Surgery, Hyogo College of Medicine, Nishinomiya, Japan |
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| Abstract: | The significant advances that have been reached, in the last decades, in the treatment of gastric cancer, contributed to the concept of enhanced recovery after surgery (ERAS) with the aim to reduce the surgical stress, accelerate postoperative recovery, and reduce the length of hospital stay. The most important items included in the ERAS protocols are the pre-operative patient education, early mobilization and immediate oral intake from the first postoperative day. The aim of this narrative review is to focus the attention on the possible advantages of ERAS program on perioperative functional recovery outcomes after gastrectomy for gastric cancer. |
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| Keywords: | Gastric cancer Surgery ERAS |
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