Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	122260
DOI	10.4240/wjgs.122260
Country	China

Category	Psychology
Manuscript Type	Retrospective Study
Article Title	Enhanced recovery after surgery, based perioperative bundle reduces 30-day unplanned readmission after laparoscopic colorectal cancer surgery
Manuscript Source	Unsolicited Manuscript
All Author List	Hui-Ying Li, Xiang Rao and Xin-Yang Zhou
Funding Agency and Grant Number
Corresponding Author	Xin-Yang Zhou, Department of Gastrointestinal Surgery, Wuyi Branch, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 2, Nanmen Street, Shuxi Subdistrict, Wuyi County, Jinhua 321200, Zhejiang Province, China. 13085676071@163.com
Key Words	Enhanced recovery after surgery; Multidisciplinary enhanced recovery interventions; Laparoscopic surgery; Colorectal neoplasms; Unplanned readmission; Postoperative recovery
Core Tip	This study evaluated the impact of a comprehensive perioperative management bundle based on an enhanced recovery after surgery (ERAS) pathway on 30-day unplanned readmission rates following laparoscopic radical resection for colorectal cancer (CRC). The intervention group (n = 39) had a significantly lower 30-day unplanned readmission rate compared with the conventional care group (per protocol, n = 38), 5.1 percent vs 23.7 percent, P = 0.024 among 77 patients. The ERAS bundle which included early mobilization, multimodal pain control, early enteral feeding, abdominal massage, psychological support as well as formalized discharge planning significantly accelerated recovery of gastrointestinal function and significantly reduced postoperative pain scores at all time points whilst improving exercise tolerance and activities of daily living along with improved quality of life overall at 30 postoperative days. These results suggest that the clinical benefits of ERAS are attributable to its synergistic multi-component bundles instead of individual interventions. The program provides a practical evidence-based approach to perioperative care that should be more broadly implemented in CRC surgical units.
Citation	Li HY, Rao X, Zhou XY. Enhanced recovery after surgery, based perioperative bundle reduces 30-day unplanned readmission after laparoscopic colorectal cancer surgery. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.122260
PDF	122260-in-press.pdf

Received	2026-06-05 11:29
Peer-Review Started	2026-06-05 11:29
First Decision by Editorial Office Director
Return for Revision	2026-06-24 09:58
Revised	2026-07-09 10:13
Publication Fee Transferred	2026-07-21 03:51
Second Decision by Editor	2026-07-28 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-07-28 10:49
Articles in Press	2026-07-28 10:49
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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