Early rehabilitation programs after laparoscopic colorectal surgery: Evidence and criticism

doi:10.3748/wjg.v19.i46.8543

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Dec 14, 2013 (publication date) through Jan 4, 2025

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World Journal of Gastroenterology

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World J Gastroenterol. Dec 14, 2013; 19(46): 8543-8551
Published online Dec 14, 2013. doi: 10.3748/wjg.v19.i46.8543

Table 1 Previous representative studies of colonic surgery with early rehabilitation programs

Ref.	Country	Study design	Inclusion period	Patients (n)	Operations	Approach	LOS (d)		Readmissions		Morbidity		Mortality
Ref.	Country	Study design	Inclusion period	Patients (n)	Operations	Approach	ERP	CC	ERP	CC	ERP	CC	ERP	CC
Anderson et al[3], 2003	United Kingdom	RCT	ND	25 (ERP: 14, CC: 11)Cancer: 18 (72)ERP: 11, CC: 7	RH: 14 (ERP: 9, CC: 5)LH: 11 (ERP: 5, CC: 6)	ND	3 (2-7)	7 (4-10)^a	0 (0)	0 (0)	4 (29)	5 (45)	0 (0)	1 (9)
Gatt et al[4], 2005	United Kingdom	RCT	ND	39 (ERP: 19, CC: 20)Cancer: 27 (69)ERP: 12, CC: 15	RH: 10 (ERP: 5, CC: 5)AR: 15 (ERP: 5, CC: 10)Others: 14 (ERP: 9, CC: 5)	ND	5 (4-9)	7.5 (6-10)^a	1 (5)	4 (20)	9 (47)	15 (75)	1 (5)	0 (0)
Khoo et al[5], 2007	United Kingdom	RCT	2003-2004	70 (ERP: 35, CC: 35)Cancer: 70 (100)	Colonic: 47 (ERP: 22, CC: 25)Rectal: 23 (ERP: 13, CC: 10)	Open	5 (3-37)	7 (4-63)^a	3 (9)	1 (3)	9 (26)	16 (46)	0 (0)	2 (6)
Muller et al[6], 2009	Switzerland	RCT	2004-2006	151 (ERP: 76, CC: 75)Cancer: 131 (87)ERP: 67, CC: 64	RH: 48 (ERP: 26, CC: 22)AR/LH: 101(ERP: 30, CC: 51)	Open	5 (2-30)	9 (6-30)^a	3 (4)	2 (3)	16 (21)	37 (49)^a	0 (0)	0 (0)
Serclova et al[7], 2009	Czech	RCT	2005-2007	103 (ERP: 51, CC: 52)Cancer: 7 (7)ERP: 3, CC: 4IBD: 89 (86)ERP: 46, CC: 43	Simple:(ERP: 47.1%, CC: 61.5)Multiple:(ERP: 29.4%, CC: 21.2)	Open	7 (5-11)	9 (7-22)^a	0 (0)	0 (0)	11 (22)	25 (48)^a	0 (0)	0 (0)
Lee et al[13], 2011	South Korea	RCT	2007-2009	100 (ERP: 46, CC: 54)Cancer: 100 (100)	RH: 38 (ERP: 17, CC: 21)LH: 15 (ERP: 5, CC: 10)AR: 47 (ERP: 24, CC: 23)	Lap	7 (6-8)	8 (7-9)	0 (0)	0 (0)	6 (11)	14 (20)	0 (0)	0 (0)
Vlug et al[9], 2011	Netherlands	RCT	200 -2009	400 (ERP: 193, CC: 207)Cancer: 400 (100)	RH: 179 (ERP: 80, CC: 99)LH: 221 (ERP: 120, CC: 101)	Open/lap	Open: 7 (5-11)Lap: 5 (4-8)	Open: 7 (6-13)Lap: 6 (4.5-9.5)^a	13 (7)	14 (7)	125 (65)	132 (64)	6 (3)	4 (2)
Wang et al[26], 2012	China	RCT	2006-2009	78 (ERP: 40, CC: 38)Cancer: 78 (100)	RH: 13 (ERP: 7, CC: 6)Sig: 34 (ERP: 18, CC:16)AR: 25 (ERP: 13, CC: 12)	Lap	5.5 (5-6)	7.0 (6-8)^a	ND	ND	2 (5)	8 (21)	0 (0)	0 (0)

^aP < 0.05 vs early rehabilitation program (ERP) group. LOS: Length of hospital stay; CC: Conventional care; RCT: Randomized controlled trial; RH: Right hemicolectomy; LH: Left hemicolectomy; SB: Small bowel; AR: Anterior resection; IBD: Inflammatory bowel disease; Lap: Laparoscopic; LAR: Low anterior resection; APR: Abdominoperineal resection; Sig: Sigmoidectomy; ND: Not documented. Continuous data are given as median (range) or mean ± SD.

Citation: Kim DW, Kang SB, Lee SY, Oh HK, In MH. Early rehabilitation programs after laparoscopic colorectal surgery: Evidence and criticism. World J Gastroenterol 2013; 19(46): 8543-8551
URL: https://www.wjgnet.com/1007-9327/full/v19/i46/8543.htm
DOI: https://dx.doi.org/10.3748/wjg.v19.i46.8543