From: The application of enhanced recovery after surgery for upper gastrointestinal surgery: Meta-analysis
Outcomes | Scope of gastrectomy | Surgical procedure of gastrectomy | ||||
---|---|---|---|---|---|---|
Radical gastrectomy | Distal Gastrectomy | Mix | Laparoscopic surgery | Open surgery | Mix | |
Lung infection | RR = 0.51, 95%CI[0.18; 1.40] | RR = 0.35, 95%CI[0.04; 3.22] | RR = 0.62, 95%CI[0.33; 1.15] | RR = 0.72, 95%CI[0.19; 2.81] | RR = 0.54, 95%CI[0.29; 1.01] | RR = 0.54, 95%CI[0.15; 1.95] |
Urinary tract infection | RR = 0.33, 95%[0.01; 8.02] | RR = 0.98, 95%CI[0.14; 6.63] | RR = 0.58, 95%CI[0.29; 1.19] | RR = 2.14, 95%CI[0.20; 23.49] | RR = 0.5, 95%CI[0.21; 1.21] | RR = 0.60, 95%CI[0.20; 1.80] |
Surgical site infection | RR = 0.51, 95%CI[0.10; 2.74] | RR = 0.95, 95%CI[0.06; 14.22] | RR = 0.94, 95%CI[0.45; 1.96] | RR = 0.84, 95%CI[0.36; 1.95] | RR = 0.77, 95%CI[0.18; 3.37] | RR = 0.97, 95%CI[0.25; 3.75] |
Postoperative anastomotic leakage | RR = 0.34, 95%CI[0.04; 3.25] | RR = 1.05, 95%CI[0.07; 16.17] | RR = 1.21, 95%CI[0.53; 2.74] | RR = 2.56, 95%CI[0.39; 16.93] | RR = 1.15, 95%CI[0.42; 3.10] | RR = 0.97, 95%CI[0.23; 4.18] |
Postoperative ileus | RR = 0.34, 95%CI[0.04; 3.25] | RR = 1.05, 95%CI[0.07; 16.17] | RR = 1.95, 95%CI[0.95; 4.02] | RR = 0.69, 95%CI[0.12; 4.01] | RR = 2.13, 95%CI[0.95; 4.81] | RR = 1.00, 95%CI[0.23; 4.29] |
Postoperative length of stay | MD = -1.79, 95%CI[−2.59; −0.99] | MD = -1.64, 95%CI[−2.60; −0.33] | MD = -1.88, 95%CI[−2.63;-1.12] | MD = -1.95, 95%CI[−2.99; −0.91] | MD = -1.83, 95%CI[−3.01; −0.66] | MD-1.36, 95%CI[−1.70; −1.03] |
Flatus | MD = -0.75, 95%CI[−1.09; − 0.41] | MD = -0.45, 95%CI[− 0.62; − 0.28] | MD = -0.83, 95%CI[−1.22;-0.45] | MD = -0.81, 95%CI[− 2.04; 0.43] | MD = -0.68, 95%CI[− 1.08; − 0.27] | MD = -0.59, 95%CI[− 0.83; − 0.35] |
Defecation | MD = -1.63, 95%CI[− 2.79; − 0.47] | Not applicable | MD = -0.54, 95%CI[− 0.86; − 0.22], | MD = -1.36, 95%CI[− 3.05; 0.34] | MD = -1.05, 95%CI[− 1.45; − 0.65] | MD = -0.65, 95%CI[− 1.28; − 0.02] |
Readmission rates | RR = 1.02, 95%CI[0.02; 50.41] | RR = 3.00, 95%CI[0.13; 69.79] | RR = 1.99, 95%CI[1.04; 3.82] | RR = 1.13, 95%CI[0.32; 4.08] | RR = 2.64, 95%CI[1.20; 5.81] | RR = 0.95, 95%Ci[0.06; 14.82] |