ERAS in Elderly Colorectal Cancer Surgery

Chang Gung Memorial Hospital1,392 enrolled

Overview

Enhanced recovery protocol consisted of a series of elements aiming to optimize and standardize perioperative care. This study aims to evaluate the safety and feasibility of a modified ERAS protocol following colorectal surgery in the elderly population, aged 65 years or older. This is a retrospective study based on prospectively collected data. Patient privacy has been carefully protected throughout the research process, and no aspect of this study interfered with or altered the patients' treatment or clinical care.

Study Type

OBSERVATIONAL

Enrollment

1,392

Conditions

ERAS Colo-rectal Cancer Elderly (people Aged 65 or More)Minimally Invasive Surgery

Eligibility

Sex: ALLMin age: 65 YearsMax age: 120 Years

Medical Language ↔ Plain English

Inclusion Criteria: * they underwent radical resection for colorectal cancer * the procedure was minimally invasive surgery * they were aged 65 or older * they provided signed informed consent. Exclusion Criteria: * Patients who underwent emergency surgery for colorectal cancer. * Patients with incomplete medical records or missing data relevant to the study. * Patients with synchronous malignancies or a history of other cancers within the past five years. * Patients with severe comorbidities (e.g., advanced cardiovascular, respiratory, or renal diseases) that contraindicate ERAS protocol implementation. * Patients with preoperative metastatic disease or locally advanced tumors requiring palliative procedures. * Patients who did not comply with or complete the ERAS protocol during the perioperative period.

Outcomes

Primary Outcomes

Short-term postoperative complications rate.

Measurement outcomes included the rate of short-term postoperative complications, overall morbidity, early morbidity, reoperation rate, 30-day readmission rates and 30-day mortality rates. Postoperative complications were carefully recorded and classified using the Clavien-Dindo classification system for a standardised severity evaluation. These complications are critical for assessing surgical outcomes and ensuring patient safety. Early complications were defined as those occurring during the initial hospitalisation or within 30 days of surgery, while late complications were defined as those arising after the patient's discharge from the hospital.

Time frame: 3 months

Secondary Outcomes

Days of Hospital Stay and Time to First Passage of Flatus

Measurement outcomes are the rate of post-operative recovery times, including postoperative stay(days) and first passage of flatus(days).