Retrospective Cohort Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2019; 11(10): 395-406
Published online Oct 27, 2019. doi: 10.4240/wjgs.v11.i10.395
Impact of age on feasibility and short-term outcomes of ERAS after laparoscopic colorectal resection
Corrado Pedrazzani, Cristian Conti, Giulia Turri, Enrico Lazzarini, Marzia Tripepi, Giovanni Scotton, Matteo Rivelli, Alfredo Guglielmi
Corrado Pedrazzani, Cristian Conti, Giulia Turri, Enrico Lazzarini, Marzia Tripepi, Giovanni Scotton, Matteo Rivelli, Alfredo Guglielmi, Division of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona Hospital Trust, Verona 37134, Italy
Author contributions: Pedrazzani C, Conti C and Guglielmi A designed the research; Rivelli M, Lazzarini E and Scotton G performed the research; Pedrazzani C and Turri G analysed the data; Conti C wrote the paper; Pedrazzani C, Tripepi M and Guglielmi A critically revised the manuscript for important intellectual content.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of University of Verona, Verona, Italy, with ID number: 53538.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest.
Data sharing statement: Deidentified participant data from prospectively collected database are available upon reasonable request to the corresponding author.
STROBE statement: The authors have read the STROBE Statement - checklist of items, and the manuscript was prepared and revised according to the STROBE Statement - checklist of items.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Corrado Pedrazzani, MD, Associate Professor, Surgeon, Division of General and Hepatobiliary Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona Hospital Trust, Piazzale “L. Scuro” 10, Verona 37134, Italy. corrado.pedrazzani@univr.it
Telephone: +39-45-8126719 Fax: +39-45-8027426
Received: April 19, 2019
Peer-review started: April 19, 2019
First decision: August 2, 2019
Revised: October 14, 2019
Accepted: October 18, 2019
Article in press: October 18, 2019
Published online: October 27, 2019
Core Tip

Core tip: Feasibility and safety of enhanced recovery protocols in elderly populations undergoing minimally invasive colorectal surgery have been questioned by recent literature. Age has been considered an obstacle for enhanced recovery and a risk factor for surgical outcomes. Our study investigated the impact of age on fast-track after laparoscopic colorectal resection. Early removal of urinary catheter and walking resumption were the most difficult goals achieved by the elderly. Nevertheless, general compliance to fast-track items was good and, although discharge criteria were fulfilled later in older patients, no differences in length of stay and major complications rate were observed.