Authors : Dr. Akanksha Dangore; Dr. Shobha Nisale

Volume/Issue : Volume 10 - 2025, Issue 7 - July

Google Scholar : https://tinyurl.com/y9sevsm5

Scribd : https://tinyurl.com/ykeh5x6v

DOI : https://doi.org/10.38124/ijisrt/25jul264

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Abstract : Background: Laparoscopic cholecystectomy is a commonly performed surgery in India. Although ERAS protocols are well- established in colorectal surgery, their role in laparoscopic cholecystectomy is still under evaluation. This study aims to compare clinical outcomes between ERAS-based care and traditional perioperative care in these patients.  Methods This prospective observational study enrolled 200 adult patients scheduled for elective laparoscopic cholecystectomy. Participants were randomly assigned to two groups: Group A received standard perioperative care, while Group B was managed according to Enhanced Recovery After Surgery (ERAS) protocols. The study evaluated outcomes such as hospital stay duration, opioid usage, postoperative complications, pain scores, and readmission rates. Data analysis was performed using SPSS, with a p-value of less than 0.05 considered statistically significant.  Conclusions ERAS protocols have been shown to enhance outcomes in laparoscopic cholecystectomy by reducing hospital stay, minimizing opioid requirements, and lowering the incidence of postoperative complications. The findings support wider implementation of ERAS to enhance surgical recovery and healthcare efficiency.

Keywords : ERAS, Laparoscopic Cholecystectomy, Postoperative Recovery.

References :

1. Hill AG, Hill GL. Metabolic response to severe injury. Br J Surg. 1998;85(7):884-90. 2168.1998.00779.x. doi: 10.1046/j.1365
2. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. 1997;78(5):606-17. doi: 10.1093/bja/78.5.606.
3. Khan S, Gatt M, Horgan A, Anderson I, MacFie J. Issues in Professional Practice: Guidelines for Implementation of Enhanced Recovery Protocols. 1st ed. Association of Surgeons of Great Britain and Ireland (ASGBI); 2009. [Internet]. Pdfs.semanticscholar.org. Available from: https://pdfs. semanticscholar.org/7960/2827d47ea07452ec326b4448304dc 1bc8714.pdf. [Last cited on 2019 Dec 03].
4. Erassociety.org [Internet]. ERAS® society guidelines. Available from: https://erassociety.org/guidelines/ list-of-guidelines/. [Last cited on 2019 Nov 29].
5. Moulton LS, Evans PA, Starks I, Smith T. Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome. Int Orthop 2015;39:1483-6
6. J.E. Aguilar-Nascimento, A.B. o.Saloma, C. Caporossi , Clinical benefits after the implementation of a multimodal perioperative protocol in elderly patients. Arq Gastroenterol;vol. 47,pp.178–183. 2010.
7. J. Ahmed, S. Khan, M. Lim , Enhanced recovery after surgery proto ols − omplian e and variations in practice during routine colorectal surgery. Int J Colorectal;vol. 14,pp.1045–1051 ,2012Alqahtani J. The prevalence of pterygium in Al-Khobar: A hospital-based study. Journal of Family and Community Medicine. 2013;20(3):159–61.
8. Andrew Yeh , Gabriella Butler , Stephen Strotmeyer , Kelly Austin , Mihaela Visoiu , Franklyn Cladis, MarcusMalek , ERAS protocol for pediatric laparoscopic cholecystectomy promotes safe and early discharge ,Journal of Pediatric Surgery;vol. 55 ,pp. 96–100,2020.
9. Sushil Bhogawar, Ashok Kumar Singh comparative analysis between eras and conventional care in laparoscopic cholecystectomy int j acad med pharm 2022; 4 (4); 136-138
10. B Praveen Kumar1, S vinoth Kumar2, Comparison of Enhanced Recovery After Surgery (ERAS) Protocol versus Conventional Approach for Laparoscopic Cholecystectomy: An Interventional Study Journal of Clinical and Diagnostic Research. 2024 Apr, Vol-18(4): PC15-PC18
11. R.K.Kamel, M.M.Abdelwahab Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic and open cholecystectomy Benha Journal of Applied Sciences (BJAS) Vol.(6) Issue(3) Part (1) (2021), (83-91)
12. Udayasankar M, Udupi S, Shenoy A. Comparison of perioperative patient comfort with ‘enhanced recovery after surgery (ERAS) approach’ versus ‘traditional approach’ for elective laparoscopic cholecystectomy. Indian J Anaesth 2020;64:316-21.