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Enhanced recovery after surgery and thoracic spinal anesthesia in major surgery: an underestimated synergy

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Received: 1 September 2026
Published: 21 September 2026
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Over the past two decades, the introduction of Enhanced Recovery After Surgery (ERAS) protocols has represented not only an organizational innovation but also a cultural shift in perioperative care for major surgery. Based on multidisciplinary evidence, these protocols aim to reduce the surgical stress response, preserve physiological function, and enhance postoperative recovery. At the same time, renewed interest has emerged in advanced regional anesthetic techniques, including thoracic spinal anesthesia (TSA), now applied even in major abdominal, urologic, and gynecological surgery – fields traditionally managed in general anesthesia. [...]

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1. Gustafsson UO, Hausel J, Thorell A, et al. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg 2011;146:571-7.

2. Mancel L, Van Loon K, Lopez AM. Role of regional anesthesia in Enhanced Recovery After Surgery (ERAS) protocols. Curr Opin Anaesthesiol 2021;34:616-25.

3. Forasassi L, Marrone F, Starnari R, Pullano C. Awake Robot-Assisted Laparoscopic Prostatectomy under Neuraxial Anaesthesia and Intermediate Cervical Plexus Block. Ann Case Report 2024;9:2039.

4. le Roux JJ, Wakabayashi K, Jooma Z. Defining the role of thoracic spinal anaesthesia in the 21st century: A narrative review. Br J Anaesth 2023;130:e56-65.

5. Secco G, Vailati D, Basta B, et al. Comparative respiratory outcomes of thoracic spinal versus general anesthesia in laparoscopic colorectal surgery: A retrospective study. Saudi J Anaesth 2025;19:573-9.

6. Paliwal NW, Khan IA. Thoracic segmental spinal anaesthesia: expanding applications while keeping it safe. Br J Anaesth 2025;135:226-8.

CRediT authorship contribution

All authors contributed equally to the manuscript and read and approved the final version of the manuscript.

Data Availability Statement

No data are available because this study did not generate any datasets.

How to Cite



Enhanced recovery after surgery and thoracic spinal anesthesia in major surgery: an underestimated synergy. (2026). Advances in Anesthesia and Pain Medicine, 4(1). https://doi.org/10.4081/aapm.2026.72