Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Aug 15, 2025; 17(8): 107899
Published online Aug 15, 2025. doi: 10.4251/wjgo.v17.i8.107899
Effect of enhanced recovery after surgery-based anesthesia resuscitation on awakening quality in da Vinci robotic rectal cancer surgery
Ling-Yan Gou, Chun-Yan Zhou, Qian Yong, Yu-Long Zhang
Ling-Yan Gou, Qian Yong, Operating Room, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Chun-Yan Zhou, Yu-Long Zhang, Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Author contributions: Gou LY and Zhang YL designed the study, performed the experiments, and prepared the manuscript; Zhou CY collected the data; Yong Q analyzed the data. All authors read and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of Affiliated Hospital of North Sichuan Medical College, No. 2025018.
Informed consent statement: All participants provided written informed consent prior to inclusion in the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets generated and/or analyzed during the current study are available from the corresponding author upon reasonable request and with the permission of the authors.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Long Zhang, MD, Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Maoyuan South Road, Shunqing District, Nanchong 637000, Sichuan Province, China. yulongzhang08@163.com
Received: April 1, 2025
Revised: April 18, 2025
Accepted: June 27, 2025
Published online: August 15, 2025
Processing time: 134 Days and 15.9 Hours
Abstract
BACKGROUND

Rectal cancer is a common digestive tract malignancy influenced by genetic, dietary, and environmental factors. While traditional open surgery is effective, it often leads to significant recovery challenges and complications. The da Vinci robotic system provides a minimally invasive option, enhancing precision and reducing recovery time. However, the anesthesia recovery phase is critical for effective patient outcomes, particularly in older individuals. This study explores the impact of enhanced recovery after surgery (ERAS)-based anesthesia resuscitation on awakening quality in patients undergoing da Vinci robotic rectal cancer surgery, aiming to improve recovery protocols.

AIM

To analyze the impact of anesthesia resuscitation interventions grounded in the principles of ERAS on the awakening quality of patients undergoing da Vinci robotic rectal cancer surgery.

METHODS

A total of 84 rectal cancer patients admitted from February 2021 to December 2022 were selected and randomized into two groups: The control group (n = 42) received conventional anesthesia recovery nursing care, while the study group (n = 42) underwent anesthesia resuscitation interventions based on the ERAS framework. The quality of awakening, pain levels, vital signs, and complications were compared between the two groups.

RESULTS

The study group showed significantly shorter times for eye opening, extubation, orientation recovery, spontaneous respiration, and anesthesia recovery room stay than the control group (P < 0.05). Visual analog scale scores at 1 hours, 2 hours, 4 hours, and 6 hours post-nursing were lower in the study group (P < 0.05). In the control group, systolic blood pressure, diastolic blood pressure, heart rate, and respiratory rate at 10 minutes post-anesthesia were higher than preoperative values (P < 0.05), while no significant differences were found in the study group. These parameters were also lower in the study group at 10 minutes (P < 0.05). The complication rate was significantly lower in the study group (4.76%) than in the control group (28.56%) (P < 0.05).

CONCLUSION

The implementation of ERAS-based anesthesia resuscitation interventions in patients undergoing da Vinci robotic rectal cancer surgery enhances awakening quality, reduces complication rates, and helps stabilize vital signs.

Keywords: Rapid recovery surgery; Da Vinci robot; Rectal cancer; Quality of awakening; Anesthesia resuscitation period

Core Tip: This study investigates the impact of enhanced recovery after surgery (ERAS)-based anesthesia resuscitation on the awakening quality of patients undergoing da Vinci robotic rectal cancer surgery. By comparing 84 patients, the research demonstrates that ERAS interventions significantly shorten recovery times, reduce postoperative pain, and lower complication rates. The findings highlight the effectiveness of ERAS principles in stabilizing vital signs and enhancing overall recovery quality, suggesting a valuable approach for improving patient outcomes in robotic surgical procedures.