Is ERAS effective and safe in laparoscopic gastrectomy for gastric carcinoma? A meta-analysis.

摘要: It is still unclear whether enhanced recovery after surgery effective and safe in laparoscopic gastrectomy for gastric carcinoma. Cochrane library databases, Medline, Embase, Pubmed were searched from January 1, 1986, to December 31, 2016. Randomized controlled trials (RCTs) comparing fast-track with conventional strategies radical carcinoma included. The main outcomes measured postoperative hospital stay, time first flatus, charge, overall complication rate. Six RCTs 400 patients included this study. Fast-track has shorter stays (weighted mean difference (WMD) − 2.65; 95% CI, − 4.01 − 1.29, z = 3.82, P < 0.01) less hospitalization expenditure (WMD − 523.43; − 799.79 − 247.06, z = 3.71, than strategies. There was no significant respect duration flatus − 17.72; − 39.46–4.02, z = 1.60, P = 0.11) rate (OR 1.57; 0.82–2.98, z = 1.37, P = 0.17). Enhanced thus recommended