Can robotic-assisted surgery support enhanced recovery programs?
(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.
(Less)
- author
- Lönnerfors, Celine LU and Persson, Jan LU
- organization
- publishing date
- 2023-08
- 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}}, }