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. 2022 Feb 23;407(4):1451–1460. doi: 10.1007/s00423-022-02469-w

Table 1.

Detailed perioperative management procedure for patients who underwent laparoscopic radical gastrectomy

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