Randomized Controlled Trial: ERAS Program on Colorectal Cancer Surgery Decrease Length of Hospital Stay

Interventions: Preoperative Phase
•Fasting at midnight
•Taking mechanical bowel preparation with polyethylene glycol 2 liters or sodium phosphate 90 milliliters
•Prophylaxis antibiotic 30 min before surgery: cefoxitin or ceftriaxone and/or methonidazole. In penicillin allergy, ciprofloxacin was used instead.
Intraoperative Phase
•General anesthesia
•In patients suspected bowel obstruction or ileus surgeon may be inserted nasogastric tube
Postoperative Phase
•Fasting 5-7 days postoperative
•Control pain with strong opioid
,Preoperative Phase
•Fasting at 3 AM
•No mechanical bowel preparation
•Prophylaxis antibiotic 30 min before surgery: cefoxitin or ceftriaxone and/or methonidazole. In penicillin allergy, ciprofloxacin was used instead.
Intraoperative Phase
•Combined general and epidural at T7-8 level anesthesia
In patients suspected bowel obstruction or ileus surgeon may be inserted nasogastric tube
Postoperative Phase
•Started with liquid diet within twenty-four hour
•Patients were encouraged to ambulate within six hour after surgery
•Control pain with epidural block and paracetamol. Adding weak opioid when pain score greater than or equal to four.
;Active Comparator Procedure/Surgery,Experimental Procedure/Surgery;Traditional Program,ERAS Program
Primary outcome(s): length of hospital stay 30 day after surgery number of the day in hospital
Study Design: Randomized