Table 2.
Summary of enhanced recovery after surgery (ERAS) elements included in the randomized controlled trials
| Studies | Preoperative | Perioperative | Postoperative | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Preoperative Information/Counselling | Reduce Fasting Times | Carbohydrate Loading | No Bowel Preparation | Optimize Anesthesia Protocols | Multimodal Anesthesia | Avoidance of NG Tubes/Intra-abdominal Drains | Active prevention of hypothermia | Antimicrobial Prophylaxis | Narrow Incision Size | Urinary Catheter Removal | Early Progression to Food | Early Mobilization | |
| Wang, 2019 [18] | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | – | – | ✓ | ✓ | ✓ |
| Sauro, 2024 [36] | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ |
| He, 2010 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Hu, 2012 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ |
| Aoyama, 2019 [16] | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ |
| Kim, 2012 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ |
| Liu, 2016 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Lee, 2020 [17] | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | – | ✓ | ✓ | ✓ |
| Tang, 2010 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ |
| Liu, 2014 [37] | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ |
| Wan, 2014 [32] | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ |
| Xia, 2017 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ |
| Xing, 2017 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Zhang, 2018 | ✓ | ✓ | – | ✓ | ✓ | ✓ | – | ✓ | – | ✓ | ✓ | ✓ | ✓ |
| WHO Guidelines Approved by the Guidelines Review Committee, 2016 [38] | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ |
| Swaminathan, 2020 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ |
| Tian, 2022 (Pro) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Tian, 2022 (Ran) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Tian, 2025 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Weindelmayer, 2025 [23] | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Gan, 2020 [48] | ✓ | – | – | ✓ | – | – | – | – | ✓ | ✓ | – | ✓ | ✓ |
| Zhou, 2021 | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Kate, 2020 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ |
| Lu, 2020 [19] | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Cao, 2021 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Lee, 2025 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Abdikarim, 2015 [15] | ✓ | ✓ | – | ✓ | ✓ | ✓ | – | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |