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Can robotic-assisted surgery support enhanced recovery programs?

Lönnerfors, Celine LU and Persson, Jan LU (2023) In Best Practice and Research: Clinical Obstetrics and Gynaecology 90.
Abstract

Enhanced recovery after surgery (ERAS) protocols comprise a multimodal approach to optimize patient outcome and recovery. ERAS guidelines recommend minimally invasive surgery (MIS) when possible. Key components in MIS include preoperative patient education and optimization; multimodal and narcotic-sparing analgesia; prophylactic measures regarding nausea, infection, and venous thrombosis; maintenance of euvolemia; and promotion of the early activity. ERAS protocols in MIS improve outcome mainly in terms of reduced length of stay and subsequently reduced cost. In addition, ERAS protocols in MIS reduce postoperative pain and nausea, increase patient satisfaction, and might reduce the rate of postoperative complications. Robotic surgery... (More)

Enhanced recovery after surgery (ERAS) protocols comprise a multimodal approach to optimize patient outcome and recovery. ERAS guidelines recommend minimally invasive surgery (MIS) when possible. Key components in MIS include preoperative patient education and optimization; multimodal and narcotic-sparing analgesia; prophylactic measures regarding nausea, infection, and venous thrombosis; maintenance of euvolemia; and promotion of the early activity. ERAS protocols in MIS improve outcome mainly in terms of reduced length of stay and subsequently reduced cost. In addition, ERAS protocols in MIS reduce postoperative pain and nausea, increase patient satisfaction, and might reduce the rate of postoperative complications. Robotic surgery supports ERAS through facilitating MIS in complex procedures where laparotomy is an alternative approach.

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author
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type
Contribution to journal
publication status
published
subject
keywords
Enhanced recovery, ERAS, MIS, Robotic surgery
in
Best Practice and Research: Clinical Obstetrics and Gynaecology
volume
90
article number
102366
publisher
Elsevier
external identifiers
  • pmid:37356336
  • scopus:85163222410
ISSN
1521-6934
DOI
10.1016/j.bpobgyn.2023.102366
language
English
LU publication?
yes
id
af251c2f-ee05-4096-9561-3cf27d2876b1
date added to LUP
2023-09-11 14:55:47
date last changed
2024-04-20 03:04:24
@article{af251c2f-ee05-4096-9561-3cf27d2876b1,
  abstract     = {{<p>Enhanced recovery after surgery (ERAS) protocols comprise a multimodal approach to optimize patient outcome and recovery. ERAS guidelines recommend minimally invasive surgery (MIS) when possible. Key components in MIS include preoperative patient education and optimization; multimodal and narcotic-sparing analgesia; prophylactic measures regarding nausea, infection, and venous thrombosis; maintenance of euvolemia; and promotion of the early activity. ERAS protocols in MIS improve outcome mainly in terms of reduced length of stay and subsequently reduced cost. In addition, ERAS protocols in MIS reduce postoperative pain and nausea, increase patient satisfaction, and might reduce the rate of postoperative complications. Robotic surgery supports ERAS through facilitating MIS in complex procedures where laparotomy is an alternative approach.</p>}},
  author       = {{Lönnerfors, Celine and Persson, Jan}},
  issn         = {{1521-6934}},
  keywords     = {{Enhanced recovery; ERAS; MIS; Robotic surgery}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Best Practice and Research: Clinical Obstetrics and Gynaecology}},
  title        = {{Can robotic-assisted surgery support enhanced recovery programs?}},
  url          = {{http://dx.doi.org/10.1016/j.bpobgyn.2023.102366}},
  doi          = {{10.1016/j.bpobgyn.2023.102366}},
  volume       = {{90}},
  year         = {{2023}},
}