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- 2025-06-04 发布于北京
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LetterstotheEditor599
sizeandpowercalculationwerebasedonLOS,andin-literature,isreallyaCellan–Jonesrepair.Graham5
cludesthisasaprimaryendpoint.Theymentionbothdescribedtheuseofa‘‘freeomentalgraft’’asisolated,
1and2daysasclinicallyrelevantdifferences,butdonotseparatedpieceofomentalfatthatwaspluggedinthe
statewhatdifferencetheyusedforpowercalculation.perforationandclosedby3interruptedsutures.In
Notably,ERASprincipleswereneverintendedtoreducecontrast,theCellan–Jonesrepairusesaviableomental
mortality(whichmakesthisaflawedendpointupfront)pedicle,2whichiswhattheauthorsdescribe.
and,notably,evenLOShasbeendeemedasunreliable
measureofenhancedrecoverypathways.3Thus,theKjetilSøreide,M.D.,Ph.D.
overlappingrangeinstaybetweenbothisnotsurprisingDepartmentofGastrointestinalSurgery,Stavanger
(4to17daysforcontrolsvs3to15daysforERAS).UniversityHospital,Stavanger,Norway
Theactualmediandays(andinterquartilerange)would
havegivenabetterimpressionoftheLOS.Also,functional
recoveryisofahigherinterestinthissetting,and,thus,a
quickerreturntointakeoforalfluidsisindeedapositive
findinginthetrial.1
Consequently,Ibelievelabelingthearticle(title)asReferences
enhancedrecoveryin‘‘emergencysurgery’’isabit
misleadingdrather,thisstudy
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