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g., abdominal computed tomography, endoscopic examination, and basic serum chemistry) was evaluated in the outpatient clinic, before surgery. After admission, patients were instructed on surgical procedures (distal gastrectomy [DG], total gastrectomy [TG]), postoperative complications, and received detailed information on the hospital course of gastrectomy (from admission to discharge) with a timetable (Fig. 1). Fig. 1 Critical pathway for elective gastrectomy. Preop., preoperative; Postop., postoperative; POD, postoperative day; NPO, non per os; OR, operating room; PRN, pro re nata; UGI, upper gastrointestinography; TG, total gastrectomy. Neither drains nor nasogastric tubes were left after a surgery. Patient-controlled analgesia was used to assist with CAPNS1 postoperative analgesia. During the postoperative period, each patient was placed on a CP, which aimed at discharge by postoperative Dolutegravir datasheet day (POD) 8. At POD 1, after removal of urethral catheter, the patient is expected to ambulate with assistance. At POD 3, a patient was allowed sips of water. At POD 5, the patient is advanced to a soft meal and educated by a dietitian. At POD 8, the discharge is recommended. We applied laparoscopic gastrectomy (distal or TG) for earlystage (cT1N0, cT1N1, and cT2N0) tumors. Our indications for discharge as follows: afebrile for 3 days, ability to eat soft meals, and no need of intensive treatment (e.g., reoperation and intervention by radiologist). The completion of CP was attained when a patient was discharged as per schedule (at POD 8). A dropout in CP was defined as a patient who could or would not be discharged at POD 8. There were two causes of patient dropout: postoperative complications and patient's will. A complication was an unexpected event during recovery. Patient's will refers to cases where a surgeon recommended the patient's discharge, but the patient would not comply, without any medical issue. Readmission was defined as patient hospitalization within POD 30 (patients who were hospitalized to receive find more adjuvant chemotherapy were excluded). In order to determine the factors that could influence CP, we divided patients into 2 groups (completion CP vs. dropout CP). Statistical analysis All statistical analyses were conducted using IBM SPSS Statistics ver. 21.0 (IBM Co., Armonk, NY, USA). All parameters of the two groups were compared with the two-tailed chi-square test, or Fisher exact test and a two-tailed T-test. To test differences between two or more means, analysis of variance was used. To predict the drop in CP, the binary logistic regression test for multivariate analysis was performed. In all statistical analyses, a P-value of
