{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T10:39:53Z","timestamp":1772275193529,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,7,24]],"date-time":"2013-07-24T00:00:00Z","timestamp":1374624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The present study aims to examine the feasibility and safety of a two\u2010day hospital stay after laparoscopic colorectal resection (LCR) under an enhanced recovery after surgery (ERAS) pathway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2003 and 2010, 882 consecutive patients undergoing LCR were analyzed. Patients were grouped and analyzed according to whether their hospital stay was 2\u00a0days (group A) or longer (group B). Demographic, surgical, and postoperative data were compared. To identify independent predictive factors related to a short hospital stay, a multivariate analysis was also performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Group A represented 10.3 % of this series (91 patients). There were no differences regarding age, gender, BMI, ASA, and previous abdominal surgeries between groups. Group A had a lower incidence of rectal cancer and anterior resections than group B (6.6 vs. 17.7 % [<jats:italic>p<\/jats:italic> = 0.006] and 14.3 vs. 23.4 % [<jats:italic>p<\/jats:italic> = 0.048]), respectively, and a lower mean operative time (170\u00a0min vs. 192\u00a0min; <jats:italic>p<\/jats:italic> = 0.002). Group A had a lower overall morbidity rate than group B (5.5 vs. 16.9 %; <jats:italic>p<\/jats:italic> = 0.004) and a lower incidence of surgery\u2010related complications (5.5 vs. 14.9 %; <jats:italic>p<\/jats:italic> = 0.001). The overall conversion rate was 10 % (only one patient in group A required conversion), and the difference in conversion rate between groups was statistically significant (1.2 vs. 10.7 %; <jats:italic>p<\/jats:italic> = 0.003). Group A had a lower readmission rate (0 vs. 4.9 %; <jats:italic>p<\/jats:italic> = 0.089). Multivariate analysis showed that conversion, postoperative morbidity, and rectal prolapse were independently associated with the length of hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A two\u2010day hospital stay after LCR is safe and feasible under an ERAS pathway, without compromising the readmission or complication rate.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2155-x","type":"journal-article","created":{"date-parts":[[2013,7,24]],"date-time":"2013-07-24T15:07:56Z","timestamp":1374678476000},"page":"2483-2489","source":"Crossref","is-referenced-by-count":38,"title":["Two\u2010day Hospital Stay After Laparoscopic Colorectal Surgery under an Enhanced Recovery after Surgery (ERAS) Pathway"],"prefix":"10.1002","volume":"37","author":[{"given":"Gustavo","family":"Rossi","sequence":"first","affiliation":[{"name":"Section of Colorectal Surgery, Service of General Surgery Hospital Italiano de Buenos Aires 450 Gasc\u00f3n st 1181 Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hern\u00e1n","family":"Vaccarezza","sequence":"additional","affiliation":[{"name":"Section of Colorectal Surgery, Service of General Surgery Hospital Italiano de Buenos Aires 450 Gasc\u00f3n st 1181 Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos A.","family":"Vaccaro","sequence":"additional","affiliation":[{"name":"Section of Colorectal Surgery, Service of General Surgery Hospital Italiano de Buenos Aires 450 Gasc\u00f3n st 1181 Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo E.","family":"Mentz","sequence":"additional","affiliation":[{"name":"Section of Colorectal Surgery, Service of General Surgery Hospital Italiano de Buenos Aires 450 Gasc\u00f3n st 1181 Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Im","sequence":"additional","affiliation":[{"name":"Section of Colorectal Surgery, Service of General Surgery Hospital Italiano de Buenos Aires 450 Gasc\u00f3n st 1181 Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adri\u00e1n","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Hospital Italiano de Buenos Aires Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo Ojea","family":"Quintana","sequence":"additional","affiliation":[{"name":"Section of Colorectal Surgery, Service of General Surgery Hospital Italiano de Buenos Aires 450 Gasc\u00f3n st 1181 Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,24]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2012.358"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02148847"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440370126013"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237235"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010012\u20101772\u20100"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010012\u20101577\u20105"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010003\u20100055\u20100"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.134.9.941"},{"key":"e_1_2_5_10_2","first-page":"625","article-title":"\u201cFast track\u201d postoperative management protocol for patients with high co\u2010morbidity undergoing complex abdominal and pelvic colorectal surgery (Br J Surg 2001; 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