ArticleLangenbeck's archives of surgery2011
A modified fast-track program for pancreatic surgery: a prospective single-center experience.
Article in Langenbeck's archives of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02372331 (The Effect of ERAS), which is not on this map. Cited by 30 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of ERAS (Enhanced Recovery After Surgery) on Pancreaticoduodenectomy
Who cites it
30 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Enhanced recovery after pancreatic surgery: a systematic review of the evidence.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2015Pooled it
- Systematic review and meta-analysis of enhanced recovery after pancreatic surgery with particular emphasis on pancreaticoduodenectomies.World journal of surgery · 2013Pooled it
- Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations.World journal of surgery · 2013Guideline
- Enhanced recovery programmes in hepatobiliary and pancreatic surgery: a systematic review.Annals of the Royal College of Surgeons of England · 2012Pooled it
- Fast-track programmes for hepatopancreatic resections: where do we stand?HPB : the official journal of the International Hepato Pancreato Biliary Association · 2011Pooled it
- Academic Pancreas Centers of Excellence: Guidance from a multidisciplinary chronic pancreatitis working group at PancreasFest.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]Guideline
- Implementation of an Enhanced Recovery After Surgery (ERAS) Pathway Is Associated with Improved Short-Term Outcomes After Colorectal Surgery: A Retrospective Bi-Centre Study.Journal of clinical medicine · 2026Article
- Blood Serum and Drainage Microbial and Mitochondrial Metabolites in Patients after Surgery for Pancreatic Cancer.Metabolites · 2023Article
- Transduodenal surgical ampullectomy: a procedure that requires a multidisciplinary approach.Updates in surgery · 2021Article
- Laparoscopic Versus Open Hartmann Reversal: A Case-Control Study.Surgery research and practice · 2021Article
- Improved Outcomes in 394 Pancreatic Cancer Resections: the Impact of Enhanced Recovery Pathway.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018Observational
- Safety of total gastrectomy without nasogastric and nutritional intubation.Molecular and clinical oncology · 2017Article
- A surgical department for intensified care.Langenbeck's archives of surgery · 2017Article
- Enhanced recovery pathways in pancreatic surgery: State of the art.World journal of gastroenterology · 2016Review
- Postoperative biological and clinical outcomes following uncomplicated pancreaticoduodenectomy.Korean journal of hepato-biliary-pancreatic surgery · 2016Article
- [Treatment of postoperative impairment of gastrointestinal motility, cholangitis and pancreatitis].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Review
- Canadian practice patterns for pancreaticoduodenectomy.Canadian journal of surgery. Journal canadien de chirurgie · 2015Article
- Pancreatic cancer surgery and nutrition management: a review of the current literature.Hepatobiliary surgery and nutrition · 2015Review
- Implementing an enhanced recovery program after pancreaticoduodenectomy in elderly patients: is it feasible?World journal of surgery · 2015Article
- Perioperative care with fast-track management in patients undergoing pancreaticoduodenectomy.World journal of surgery · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this study is to evaluate the impact of a fast-track protocol in a high-volume center for patients with pancreatic disorders.
backgroundThe concept of fast-track surgery allowing accelerated postoperative recovery is accepted in colorectal surgery, but efficacy data are only preliminary for patients undergoing major pancreatic surgery. We aimed to evaluate the impact of a modified fast-track protocol in a high-volume center for patients with pancreatic disorders.
methodsBetween February 2005 and January 2010, 145 subjects had resective pancreatic surgery and were enrolled in the program. Essential features of the program were no preanaesthetic medication, upper and lower air-warming device, avoidance of excessive i.v. fluids perioperatively, effective control of pain, early reinstitution of oral feeding, and immediate mobilization and restoration of bowel function following surgery. Outcome measures were postoperative complications such as pancreatic fistula, delayed gastric emptying, biliary leak, intra-abdominal abscess, post-pancreatectomy hemorrhage, acute pancreatitis, wound infection, 30-day mortality, postoperative hospital stay, and readmission rates.
resultsOn average, patients were discharged on postoperative day 10 (range 6-69), with a 30-day readmission rate of 6.2%. Percentage of patients with at least one complication was 38.6%. Pancreatic anastomotic leakage occurred in seven of 101 pancreatico-jejunostomies, and biliary leak in three of 109 biliary jejunostomies. Postoperative hemorrhage occurred in ten (6.9%) patients and wound infection in nine (6.2%) cases. In-hospital mortality was 2.7%. Fast-track parameters, such as normal food and first stool, correlated significantly with early discharge (<0.05). At multivariate analysis, lack of jaundice, and resumption of normal diet by the 5th postoperative day were independent factors of early discharge.
conclusionFast-track programs are feasible, easy, and also applicable for patients undergoing a major surgery such as pancreatic resection.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.