©The Author(s) 2025.
World J Gastrointest Surg. Oct 27, 2025; 17(10): 108930
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.108930
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.108930
Table 2 Perioperative - core items of fast-track surgery
| Serial number | Phase | Enhanced recovery after surgery core projects | [19] | [20] | [21] | [22] | [23] | [24] | [25] | [26] | [27] | [28] | [29] | [30] | [31] | [32] | [33] | [34] | [35] | [36] | [37] | [38] | [39] |
| 1 | Preoperative | Preoperative education | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ |
| 2 | Smoking and alcohol cessation before surgery | - | √ | - | - | - | √ | - | - | - | - | √ | - | - | - | - | - | - | - | - | - | √ | |
| 3 | Preoperative visit and assessment | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| 4 | Prehabilitation | √ | √ | - | - | - | - | √ | √ | √ | - | √ | √ | √ | - | - | - | √ | - | - | - | - | |
| 5 | Preoperative nutritional support | - | √ | √ | - | - | √ | √ | - | √ | - | - | - | - | - | - | - | - | - | √ | √ | - | |
| 6 | Preventive antithrombotic treatment | - | - | - | - | - | - | - | - | √ | - | - | - | - | - | - | - | - | - | - | √ | √ | |
| 7 | Shortened preoperative fasting and drinking time | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| 8 | No routine bowel preparation | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | - | - | - | |
| 9 | Preoperative anesthesia medication | - | √ | - | - | - | - | - | - | - | √ | √ | - | - | - | - | - | - | - | - | - | - | |
| 10 | Prophylactic antibiotics and skin preparation | - | √ | √ | - | - | - | - | - | - | √ | - | - | - | - | √ | - | - | - | - | - | √ | |
| 11 | Anesthesia method, drug selection, and stress control | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | - | - | √ | - | √ | - | √ | √ | √ | √ | |
| 12 | Intraoperative | Multimodal opioid-sparing analgesia | - | √ | √ | - | √ | - | √ | - | √ | √ | √ | - | - | - | - | - | - | - | - | √ | - |
| 13 | Inflammation control | - | √ | - | - | - | - | - | - | - | - | - | - | - | - | - | - | √ | - | - | - | - | |
| 14 | Airway management and lung protection strategy | - | √ | - | - | - | - | - | - | √ | - | - | - | - | - | - | - | - | - | - | - | - | |
| 15 | Brain protection strategy | - | - | √ | - | √ | - | √ | - | √ | √ | √ | - | - | - | √ | - | - | - | - | - | - | |
| 16 | Intraoperative fluid and circulation management | √ | √ | √ | √ | √ | √ | - | √ | - | √ | √ | - | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| 17 | Intraoperative temperature management | - | √ | - | - | √ | - | √ | √ | √ | √ | √ | √ | - | √ | - | - | √ | √ | - | √ | - | |
| 18 | Surgical method and quality | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | - | - | - | |
| 19 | Perioperative blood glucose control | - | √ | - | - | - | - | - | - | √ | - | - | - | - | - | - | - | - | - | - | - | - | |
| 20 | No routine nasogastric tube placement | √ | √ | - | √ | √ | √ | √ | - | √ | √ | √ | √ | √ | √ | √ | √ | √ | - | - | - | - | |
| 21 | No routine abdominal drainage | √ | √ | √ | √ | √ | √ | √ | - | √ | √ | √ | √ | √ | √ | √ | - | - | - | - | - | ||
| 22 | Intraoperative urinary catheter placement | √ | √ | √ | √ | √ | √ | √ | - | √ | √ | - | - | - | √ | - | - | √ | - | - | - | - | |
| 23 | Perioperative fluid therapy | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| 24 | Postoperative | Postoperative pain management | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| 25 | Prevention and treatment of PONV | - | √ | - | - | - | - | - | - | - | √ | - | - | - | - | - | - | - | - | - | - | - | |
| 26 | Early postoperative oral intake | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| 27 | Blood management | - | - | - | - | √ | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | |
| 28 | Early postoperative mobilization | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | ||
| 29 | Discharge criteria | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| 30 | Follow-up and outcome evaluation | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | |
| Total | 16 | 27 | 19 | 16 | 20 | 18 | 20 | 15 | 23 | 22 | 21 | 15 | 15 | 16 | 15 | 15 | 17 | 14 | 12 | 15 | 14 | ||
- Citation: Li HY, Liu Y, Cui WX, Zhao Q. Enhanced recovery after surgery in gastric cancer surgery: Systematic review and meta-analysis of perioperative indwelling drainage tube use. World J Gastrointest Surg 2025; 17(10): 108930
- URL: https://www.wjgnet.com/1948-9366/full/v17/i10/108930.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v17.i10.108930