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Patients in the ERAS group had significantly better clinical and laboratory recovery parameters except for postoperative nausea and vomiting. Asignificantly lower incidence of paralytic ileus (20.9% vs. 3%) and ashorter length of postoperative stay (13 days vs. 9 days) was found in the ERAS group. The rehospitalization rate and 30-day morbidity were not different between the ERAS and control group. Implementation of the ERAS protocol in combination with mini-invasive approaches leads to better short-term postoperative outcomes after rectal su