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30, 95% CI -1.90 to -0.70, P0.00001) and shortened the length of stay (LOS) ([SMD] -0.49, 95% CI -0.77 to -0.20, (P 0.00001)); however, 30-day readmission (risk ratio [RR] 0.97,95% [CI] 0.73 to 1.28, P=0.52) and the overall postoperative complication rate (risk ratio [RR] 0.98,95% confidence interval [CI] 0.88 to 1.09, P= 0.41) showed no significant difference. Fifteen studies were included in our meta-analysis; we observed that ERAS decreased the time for the first bowel movement (standardized mean difference [SMD] -1.30, 95% CI -1.90 to -