Enhanced recovery pathways (ERP) for colorectal surgery have become standard of care for perioperative management but can be further improved.1 Same-day discharge (SDD) programs represent the evolution of current ERP practices to allow for discharge on the day of surgery after minimally invasive surgery (MIS) colectomy. Pathways for SDD focus on minimizing or improving the aspects of care that keep a patient hospitalized, that is, (1) discharge before recovery of gastrointestinal function, (2) improvements in multimodal analgesia, and (3) effective postdischarge remote follow-up.2 These elements act synergistically within a comprehensive program that is built on standard ERP practices to further minimize surgical stress and improve immediate postoperative recovery to the point of allowing for SDD in select patients undergoing MIS colectomy (Box).
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Lawrence Lee, MD, PhD, McGill University Health Centre, 1001 Boulevard Decarie DS1-3310, Montreal, QC H4A 3J1, Canada (email@example.com).
Published Online: September 28, 2022. doi:10.1001/jamasurg.2022.4123
Conflict of Interest Disclosures: Dr Lee reported grants from Johnson & Johnson and personal fees from Stryker. Dr Rashidi reported personal fees from Intuitive Surgical. No other disclosures were reported.
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