Colorectal
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See the full rubric →Day 1 Discharge for All Patients After Minimally Invasive Colon Surgery: A Prospective Cohort Study.
Clinical takeawayFor elective minimally invasive colon resection without stoma, target Day 1 discharge in eligible patients using predefined clinical criteria. This reduces median length of stay from 3 to 1 day with no increase in 30-day readmissions or severe complications. Gastroenterologists should counsel patients on this possibility and support the pathway in surgical planning and post-operative management.
What it foundDay 1 discharge rates increased from 4.6% to 65% after implementing a standardized pathway for minimally invasive colon resection without stoma, with no significant change in 30-day readmissions (p=0.43) or severe complications defined as Clavien-Dindo grade ≥IIIb (p=0.91).
ContextThis builds on ERAS protocol evidence showing that early discharge after minimally invasive colon surgery is safe. Prior studies demonstrated feasibility of discharge within 24-72 hours, but adoption remained variable outside specialized centers. This prospective cohort confirms that systematic Day 1 discharge targeting is safe at scale and can be sustained over time, addressing the implementation gap.
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Glazemakers ST … Bloemen JG · Diseases of the Colon and Rectum · IF 3.5 · PubMed ↗