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An enhanced recovery program has been developed to provide for colon cancer patients faster and more personalized postoperative treatment. Most of the previous studies have showed that the efficacy of the enhanced recovery program on both subjective and objective physical recovery of patients. However, such studies are rarely conducted in South Korea. The purpose of this study is to evaluate the feasibility and efficacy of a postoperative enhanced recovery program in patients who underwent laparoscopic colon cancer surgery at a tertiary hospital in Korea.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERAS group | Experimental | early recovery program with no preoperative mechanical bowel preparation, early diet initiation, and prevention of postoperative ileus after elective laparoscopic colon cancer surgery |
|
| Congrol group | No Intervention | Traditional, conventional perioperative treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced recovery program | Other | Enhanced recovery program day-1: no mechanical bowel preparation, intake permit until 6 hrs before operation day0: operation, postoperative fluid therapy, antibiotics day1: liquid diet, early ambulation, removal of foley catheterization day2-3: soft diet day 4-5: discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | Duration of hospital stay from the date of operation to the date when a patient meets the following "discharge criteria". Discharge criteria:
| 30 days post-operatively |
| Actual hospital stay | 30 days post-operatively |
| Measure | Description | Time Frame |
|---|---|---|
| Readmission rate | 30 days from time of surgery | |
| 30-day morbidity | 30 days from time of surgery | |
| 30-day mortality |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gyu-Seog Choi, MD | Kyunpook National Univercity Medical Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gyu seog Choi | Daegu | 702-210 | South Korea |
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| ID | Term |
|---|---|
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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|
| 30 days from time of surgery |
| Quality of life | EORTC QLQ-C30, before and after surgery | up to 30days from time of surgery |
| Nutritional status | Body weight, body mass index, body composition, before and after surgery | up to 30days from time of surgery |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |