{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T08:07:14Z","timestamp":1783843634128,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is associated with significant morbidity. Enhanced Recovery After Surgery (ERAS) protocols may improve perioperative outcomes, but data from low\u2010 and middle\u2010income countries (LMICs) remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted an ambispective study comparing patients undergoing CRS\u2013HIPEC before (January 2015\u2013June 2022;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009294) and after (July 2022\u2013June 2024;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200970) ERAS implementation at a high\u2010volume tertiary cancer centre. ERAS compliance and perioperative outcomes, including length of stay (LOS), major morbidity (Clavien\u2013Dindo III\u2013IV), mortality, readmission, and reoperation, were analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, ERAS compliance was 77.1%. Compliance was highest for preoperative and intraoperative components, while postoperative elements showed comparatively lower adherence. Median postoperative LOS decreased significantly from 8 to 5 days (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). Major morbidity declined from 20.1% to 12.9%, although this was not statistically significant. Ninety\u2010day mortality (4.6% vs 4.3%), readmission (15% vs 12.9%), and reoperation rates (13% vs 10%) were comparable between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implementation of an ERAS pathway for CRS\u2013HIPEC in a high\u2010volume LMIC centre is feasible and safe, resulting in shorter hospital stay without increasing morbidity or mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70257","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T07:08:12Z","timestamp":1775632092000},"page":"989-998","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhanced Recovery After Surgery in Cytoreductive Surgery With HIPEC: Implementation and Outcomes From a High\u2010Volume Tertiary Centre in a Lower\u2010Middle Income Country"],"prefix":"10.1002","volume":"133","author":[{"given":"Babul","family":"Bansal","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology Dr. BRA\u2010IRCH, AIIMS Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venugopal","family":"Ravi","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Dr. BRA\u2010IRCH, AIIMS Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Onco\u2010anesthesia and Palliative Medicine Dr. BRA\u2010IRCH, AIIMS Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashutosh","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Dr. BRA\u2010IRCH, AIIMS Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9184-4254","authenticated-orcid":false,"given":"Sandeep","family":"Bhoriwal","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Dr. BRA\u2010IRCH, AIIMS Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amitabha","family":"Mandal","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology National Cancer Institute AIIMS Jhajjar Haryana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishkarsh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Onco\u2010anesthesia and Palliative Medicine Dr. BRA\u2010IRCH, AIIMS Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. D.","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Dr. BRA\u2010IRCH, AIIMS Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199501000\u201000004"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978\u20101\u20104613\u20101247\u20105_3"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21277"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25356"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2004.09.021"},{"key":"e_1_2_13_7_1","doi-asserted-by":"crossref","unstructured":"P.Jacquet A. D.Stephens A. M.Averbach et al. 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