Abstract
The enhanced recovery after surgery (ERAS) programme is increasingly recognised as the standard of care for patients undergoing colonic cancer surgery, but its applicability to rectal surgery has been questioned. This article analyses the available evidence for the benefit of the individual ERAS elements, with particular reference to rectal surgery. Recent studies have demonstrated the feasibility of ERAS in rectal cancer surgery, and show a reduced length of stay and quicker return of bowel function compared with conventional postoperative care. Ongoing randomised trials will help to clarify the role of ERAS in the era of laparoscopic colonic and rectal cancer surgery.
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