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  Implementation of an ERAS Program and a Standardized Closing Tray Reduces SSIs in Colorectal Operations

  Elizabeth Carlson, Nora Laban, Shelli Bergeron, Diana Lee, Donna Kayal, Michelle Jankowski, Lihua Qu, Kristin LeMarbe, and Harry J. Wasvary

  Publication Date: 5-2025

  ● Colorectal surgeries exhibit a postoperative surgical site infection (SSI) rate of up to 30%, surpassing rates in other surgical disciplines.1,2

  ● Previous studies have emphasized preventative approaches, including multidisciplinary SSI bundles, to mitigate postoperative SSIs.3,4

  AIM: To assess the efficacy of the Closing Tray Protocol and the Enhanced Recovery After Surgery (ERAS) Program in reducing SSIs, addressing the pressing need for effective infection control measures.

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  Index cost comparison of laparoscopic vs robotic surgery in colon and rectal cancer resection: a retrospective financial investigation of surgical methodology innovation at a single institution

  Ekene Ezeokoli, Roula Hilli, and Harry J. Wasvary

  Publication Date: 5-2025

  Robotic assisted colorectal cancer resection (R-CR) has become increasingly commonplace in contrast to traditional laparoscopic cancer resection (L-CR). The aim of this study was to compare the total direct costs of R-CR to that of L-CR and to compare the groups with respect to costs related to LOS.

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  The Effect of the Adoption of the National Accreditation Program for Rectal Cancer Process on Compliance Standards at A Single Institution

  Garrett W. Peters, Gregory Thomas, Jacob A. Applegarth, Forrest Bohler, Shelli Bergeron, and Harry J. Wasvary

  Publication Date: 5-2025

  • The National Accreditation Program for Rectal Cancer (NAPRC) was developed to decrease variability and increase a multidisciplinary approach among rectal cancer care.

  • There is considerable variability among institutions in compliance with the “Patient Care: Expectations and Protocols” standards, and it is unclear how compliance changes once an institution undergoes the accreditation process.

  • Corewell Health William Beaumont University Hospital (formerly Beaumont Hospital, Royal Oak) is a large-volume institution that adopted the NAPRC process into clinical practice starting in August 2019.

  • In this study, we evaluate institutional compliance before and after NAPRC accreditation adoption was undertaken.