title: Enhanced recovery after surgery with laparoscopic radical gastrectomy for stomach carcinomas.
abstract: OBJECTIVE
  To study the efficacy of the enhanced recovery after surgery (ERAS) program in laparoscopic radical gastrectomy for stomach carcinomas.
  
  
  METHODS
  From June 2010 to December 2012, 61 gastric cancer patients who underwent laparoscopic-assisted radical gastrectomy with D2 lymphadenectomy at First Hospital of Jilin University were enrolled in this randomized controlled trial. (Clinical Trials.gov, registration ID: NCT01955096). The subjects were divided into the ERAS program group and the conventional control group. The clinical characteristics, recovery variables, and complications of patients were analyzed.
  
  
  RESULTS
  The time to first ambulation, oral food intake, and time to defecation were significantly shorter in the ERAS group (n = 30), compared to the conventional group (n = 31; P = 0.04, 0.003, and 0.01, respectively). The postoperative hospital stay was less in the ERAS group (6.8 ± 1.1 d) compared to the conventional group (7.7 ± 1.1 d) (P = 0.002). There was no significant difference in postoperative complications between the ERAS (1/30) and conventional care groups (2/31) (P = 1.00). There were no readmissions or mortality during the 30-d follow-up period.
  
  
  CONCLUSIONS
  The ERAS program is associated with a shorter hospital stay in gastric cancer patients undergoing laparoscopic radical gastrectomy. The ERAS protocol is useful in the treatment of gastric cancer.
authors.affiliation: Ikram Abdikarim, Xue-Yuan Cao, Shou-Zhen Li, Yin-Quan Zhao, Yerlan Taupyk, Quan Wang, Department of Gastric and Colorectal Surgery, First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
authors.forename: Ikram
authors.initials: I
authors.lastname: Abdikarim
authors.affiliation: Ikram Abdikarim, Xue-Yuan Cao, Shou-Zhen Li, Yin-Quan Zhao, Yerlan Taupyk, Quan Wang, Department of Gastric and Colorectal Surgery, First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
authors.forename: Xue-Yuan
authors.initials: XY
authors.lastname: Cao
authors.affiliation: Ikram Abdikarim, Xue-Yuan Cao, Shou-Zhen Li, Yin-Quan Zhao, Yerlan Taupyk, Quan Wang, Department of Gastric and Colorectal Surgery, First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
authors.forename: Shou-Zhen
authors.initials: SZ
authors.lastname: Li
authors.affiliation: Ikram Abdikarim, Xue-Yuan Cao, Shou-Zhen Li, Yin-Quan Zhao, Yerlan Taupyk, Quan Wang, Department of Gastric and Colorectal Surgery, First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
authors.forename: Yin-Quan
authors.initials: YQ
authors.lastname: Zhao
authors.affiliation: Ikram Abdikarim, Xue-Yuan Cao, Shou-Zhen Li, Yin-Quan Zhao, Yerlan Taupyk, Quan Wang, Department of Gastric and Colorectal Surgery, First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
authors.forename: Yerlan
authors.initials: Y
authors.lastname: Taupyk
authors.affiliation: Ikram Abdikarim, Xue-Yuan Cao, Shou-Zhen Li, Yin-Quan Zhao, Yerlan Taupyk, Quan Wang, Department of Gastric and Colorectal Surgery, First Hospital of Jilin University, Changchun 130021, Jilin Province, China.
authors.forename: Quan
authors.initials: Q
authors.lastname: Wang
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000556:secondary / Q000601:surgery*; D002681:China; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011446:Prospective Studies; D020127:Recovery of Function; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Enhanced recovery after surgery; Gastrectomy; Gastric cancer; Laparoscopic