REVIEW article
Front. Surg.
Sec. Genitourinary Surgery and Interventions
The role of enhanced recovery after surgery (ERAS) in laparoscopic adrenalectomy: a systematic review and meta-analysis
Provisionally accepted
- Nanchong Central Hospital Affiliated to North Sichuan Medical College, Nanchong, China
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Objective: Comparison of the perioperative outcomes of ERAS with conventional care in laparoscopic adrenalectomy. Methods: Systematic search of Embase, PubMed, Cochrane Central, Scopus, CNKI, and Web of Science databases on comparing ERAS and conventional care for laparoscopic adrenalectomy. Stata17 software is used for data analysis. Results: A total of 5 studies. Compared with the conventional care group, the ERAS group shortened the postoperative length of stay (Effect = - 0.98, 95%Cl [- 1.49, - 0.48], P < 0.05), total length of stay (Effect = - 0.96, 95%Cl [- 1.61, - 0.32], P < 0.05). Lowered Clavien-Dindo grade < Ⅱcomplication rate (OR = 0.34, 95%Cl [0.14, 0.80], P < 0.05), shortened the first feeding time (Effect = - 3.21, 95%Cl [- 5.36, - 1.05], P < 0.05), the time to get out (Effect = - 16.32, 95%Cl [- 19.40, - 13.24], P < 0.05), and remove the catheter as soon as possible (Effect = -20.00, 95%Cl [- 22.39, - 17.62], P < 0.05). Conclusion: ERAS may have potential benefits for recovery after laparoscopic adrenalectomy. However, multicenter randomized controlled trials are urgently needed to further confirm this.
Keywords: Eras, Conventional care, Laparoscopic, Adrenalectomy, Meta-analysis
Received: 04 Aug 2025; Accepted: 28 Nov 2025.
Copyright: © 2025 Tang and Hu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Chenxi Tang
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