Laparoscopy Combined with Enhanced Recovery Pathway in Ileocecal Resection for Crohn’s Disease: A Randomized Study

Table 1

Perioperative programs in the two treatment groups.

Enhanced recovery after surgery program	Conventional care
Preoperative	Preoperative
Multidisciplinary patient information	Patient information
No bowel preparation	Mechanical bowel preparation
No fasting, fluids until 2 h before surgery, solids until 6 h	Fasting since midnight before operation
Orally take 1000 mL + 500 mL 5% glucose solution the night before and on the morning of surgery	No 5% glucose solution
Intraoperative	Intraoperative
Laparoscopic standardized technique	Laparoscopic standardized technique
Fluid restriction (max 1500 mL)	Fluid overload (over 1500 mL)
Prevention of deep vein thrombosis: stretch socks	No stretch socks
Infusion heating	No infusion heating
No abdominal drainage	Abdominal drainage
Postoperative	Postoperative
No nasogastric tube removal at awakening	Nasogastric tube removal after passing flatus
Early mobilization 2 h after surgery	Mobilization from postoperative day 1
Early diet intake, fluids in postoperative day 0, and soft food in postoperative day 1	Fluids and solids intake after first passage of stools
Opioid-free analgesia	Opioid-free analgesia
Urinary catheter removal on postoperative day 1	Urinary catheter removal on postoperative day 2/3