Enhanced recovery pathways in colorectal surgery: a consensus paper by the Associazione Chirurghi Ospedalieri Italiani (ACOI) and the PeriOperative Italian Society (POIS).
Ferdinando Ficari, Felice Borghi, Marco Catarci, Marco Scatizzi, Vincenzo Alagna, Ilaria Bachini, Giànandrea Baldazzi, Ugo Bardi, Michele Benedetti, Luigi Beretta, Elisa Bertocchi, Domenico Caliendo, Roberto Campagnacci, Alessandro Cardinali, Massimo Carlini, Marco Cascella, Diletta Cassini, S Ciotti, A Cirio, P. Coata, D Conti, Paolo Delrio, Carlo Di Marco, Laura Ferla, Camilla Fiorindi, Gianluca Garulli, C Genzano, Gianluca Guercioni, Bruno Marra, Angela Maurizi, Roberta Monzani, Ugo Pace, Lorenzo Pandolfini, Attilio Parisi, Marco Pavanello, Nicolò Pecorelli, Luigi Pellegrino, Roberto Persiani, Felice Pirozzi, Basilio Pirrera, Alessio Rizzo, Monica Rolfo, Stefano Romagnoli, Giacomo Ruffo, Antonio Sciuto, Pierluigi Marini
Abstract
Enhanced Recovery After Surgery (ERAS) pathway is a multi-disciplinary, patient-centered protocol relying on the implementation of the best evidence-based perioperative practice. In the field of colorectal surgery, the application of ERAS programs is associated with up to 50% reduction of morbidity rates and up to 2.5 days reduction of postoperative hospital stay. However, widespread adoption of ERAS pathways is still yet to come, mainly because of the lack of proper information and communication. Purpose of this paper is to support the diffusion of ERAS pathways through a critical review of the existing evidence by members of the two national societies dealing with ERAS pathways in Italy, the PeriOperative Italian Society (POIS) and the Associazione Italiana Chirurghi Ospedalieri (ACOI), showing the results of a consensus development conference held at Matera, Italy, during the national ACOI Congress on June 10, 2019.