Article Abstract

Reply to: does utilization of laparoscopy improve successful adherence to enhanced recovery programs in colorectal surgery?

Authors: Marco Braga


Fast-track surgery has been initially applied in patients undergoing open colorectal resection (1) and minimally invasive surgery was not included in the multimodal enhanced recovery after surgery (ERAS) pathway (2). Laparoscopic surgery (LPS) was associated with a shorter length of hospital stay than open surgery even when postoperative morbidity was similar (3). The common practice suggests that patients who underwent LPS quickly recover oral feeding, mobilization, and self-care ability. Therefore, it seems reasonable to combine a minimally invasive surgical technique and a stress-reducing perioperative pathway. Previous randomized studies, systematic reviews and meta-analyses reported better postoperative outcomes when LPS and ERAS protocols were associated (4-6).