Prospective Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Mar 27, 2019; 11(3): 169-178
Published online Mar 27, 2019. doi: 10.4240/wjgs.v11.i3.169
Learning curve of enhanced recovery after surgery program in open colorectal surgery
Varut Lohsiriwat
Varut Lohsiriwat, Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Author contributions: Lohsiriwat V solely contributed to this study and wrote the manuscript.
Institutional review board statement: The study was approved by the institutional ethics committee (Si 498/2017).
Informed consent statement: All the participants provided written consent to participate in the study. The identity of the subjects was omitted and anonymized.
Conflict-of-interest statement: The author declared that I had no conflict of interest.
CONSORT 2010 statement: This study report was in compliance with the CONSORT 2010 statement
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:
Corresponding author: Varut Lohsiriwat, MD, PhD, Associate Professor of Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Telephone: +66-2-4198005 Fax: +66-2-4121370
Received: February 20, 2019
Peer-review started: February 20, 2019
First decision: February 26, 2019
Revised: March 2, 2019
Accepted: March 20, 2019
Article in press: March 20, 2019
Published online: March 27, 2019
Core Tip

Core tip: Whether the learning curve of surgeon and multidisciplinary team affects enhanced recovery after surgery (ERAS) outcomes is unknown. This study showed that a number of 76 cases are required for an ERAS team to achieve a high compliance (> 70%) with ERAS program and a significantly higher rate of optimal recovery following open colorectal surgery. The application of preoperative counseling, nutrition support, goal-directed fluid therapy, O-ring wound protector and scheduled mobilization significantly increased over the study period.