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Enhanced Recovery Pathways: Is It Laparoscopy or Is It Everything Else?

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Current Common Dilemmas in Colorectal Surgery

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Abstract

Perioperative care is a complex intervention. By minimizing surgical trauma, laparoscopy has been demonstrated to diminish the surgical stress response, decrease postoperative pain, hasten gastrointestinal function and return to independence, which have translated into improved clinical outcomes. But there are limitations in what surgical technique alone can achieve. Many other aspects of perioperative care play an important role in the surgical stress response and subsequent postoperative trajectory of patients undergoing surgery. Optimizing perioperative care involves multiple stakeholders including surgeons, anaesthesiologists, nurses and patients. Enhanced recovery programmes aim to integrate all aspects of perioperative care into a multidisciplinary care pathway to diminish surgical stress and improve outcomes. Including laparoscopic surgery as the foundation of an enhanced recovery programme and addressing the entire care trajectory, from the preoperative phase through to full patient functional recovery, maximize the value of minimally invasive surgery.

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Authors and Affiliations

  1. Department of Surgery, McGill University Health Centre, Montréal, QC, Canada

    Lawrence Lee & Liane S. Feldman

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  1. Lawrence Lee
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  2. Liane S. Feldman
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Correspondence to Liane S. Feldman .

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Editors and Affiliations

  1. London Health Sciences Centre, University Hospital, London, Ontario, Canada

    Christopher M. Schlachta

  2. Mount Sinai School of Medicine, New York, New York, USA

    Patricia Sylla

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Lee, L., Feldman, L.S. (2018). Enhanced Recovery Pathways: Is It Laparoscopy or Is It Everything Else?. In: Schlachta, C., Sylla, P. (eds) Current Common Dilemmas in Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-70117-2_3

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  • DOI: https://doi.org/10.1007/978-3-319-70117-2_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70116-5

  • Online ISBN: 978-3-319-70117-2

  • eBook Packages: MedicineMedicine (R0)

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