Table 1.
Distal gastrectomy | Total gastrectomy | Proximal gastrectomy | ||
---|---|---|---|---|
Gastrectomy-specific ERAS care | Preoperative nutrition for malnourished patients | ○ | ○ | ○ |
Preoperative oral pharmaconutrion | ||||
Laparoscopic access | ○ | ○ | ○ | |
Transversus abdominis plane block | ○ | ○ | ○ | |
Nasogastric/nasojejunal decompression | ○ | |||
Avoiding the use of abdominal drains | ||||
Early postoperative diet and artificial nutrition | ○ | |||
Audit | ○ | ○ | ○ | |
General ERAS care | Dedicated preoperative counselling | ○ | ○ | ○ |
Abstinence of smoking and alcohol consumption | ○ | ○ | ○ | |
Do not use mechanical bowel preparation | ○ | ○ | ○ | |
Preoperative fasting and preoperative treatment with carbohydrates | ○ | ○ | ○ | |
Optimal anaesthetic management | ○ | ○ | ○ | |
Preanaesthetic medication | ||||
Antithrombotic prophylaxis | ○ | ○ | ○ | |
Antimicrobial prophylaxis and skin preparation | ○ | ○ | ○ | |
Epidural analgesia | ||||
Intravenous analgesia through PCA | ○ | ○ | ○ | |
Multimodal intervention for PONV | ○ | ○ | ○ | |
Avoiding intraoperative hypothermia | ○ | ○ | ○ | |
Postoperative glycemic control | ○ | ○ | ○ | |
Near-zero fluid balance | ○ | ○ | ○ | |
Removing urinary drainage on POD1–2 | ○ | ○ | ○ | |
Stimulation of bowel movement | ○ | ○ | ○ | |
Early and scheduled mobilization | ○ | ○ | ○ |
ERAS enhanced recovery after surgery; PCA patient-controlled analgesia; PONV postoperative nausea and vomiting; POD postoperative day