ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2013
Effects of introducing an enhanced recovery after surgery programme for patients undergoing open hepatic resection.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Fast track program in liver resection: a PRISMA-compliant systematic review and meta-analysis.Medicine · 2016Pooled it
- Enhanced recovery following liver surgery: a systematic review and meta-analysis.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2014Pooled it
- THERE ARE NO ADVANTAGES BETWEEN LAPAROSCOPIC AND OPEN LIVER RESECTIONS WITHIN AN ENHANCED RECOVERY PROGRAM (ERAS).Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021Article
- Comparison of Clinical Outcomes Between Chinese Patients Receiving Hepatectomy With or Without Enhanced Recovery After Surgery Strategy.Frontiers in surgery · 2021Article
- Effects of a new perioperative enhanced recovery after surgery protocol in hepatectomy for hepatocellular carcinoma.Surgery today · 2020Article
- Possible Preventable Causes of Unplanned Readmission After Elective Liver Resection, Results from a Non-academic Referral HPB Center.World journal of surgery · 2019Article
- Determining the Safety and Efficacy of Enhanced Recovery Protocols in Major Oncologic Surgery: An Institutional NSQIP Analysis.Annals of surgical oncology · 2019Article
- Safety and efficacy of enhanced recovery after surgery (ERAS) programs in patients undergoing hepatectomy: A prospective randomized controlled trial.Journal of clinical laboratory analysis · 2018Article
- Enhanced Recovery via Peripheral Nerve Block for Open Hepatectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018Article
- Second Generation of a Fast-track Liver Resection Programme.World journal of surgery · 2018Article
- Perioperative Factors Predicting Prolonged Postoperative Ileus After Major Abdominal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018Article
- Impact of enhanced recovery after surgery protocols on postoperative morbidity and mortality in patients undergoing routine hepatectomy: review of the current evidence.Annals of translational medicine · 2017Article
- Outcomes after implementing the enhanced recovery after surgery protocol for patients undergoing tuberculous empyema operations.Journal of thoracic disease · 2017Article
- Cost-Benefit Analysis of the Implementation of an Enhanced Recovery Program in Liver Surgery.World journal of surgery · 2016Article
- Implementation of Enhanced Recovery (ERAS) in Colorectal Surgery Has a Positive Impact on Non-ERAS Liver Surgery Patients.World journal of surgery · 2016Article
- The Impact of a Surgical Protocol for Enhanced Recovery on Living Donor Right Hepatectomy: A Single-Center Cohort Study.Medicine · 2016Article
- Nonstrict and individual enhanced recovery after surgery (ERAS) in partial hepatectomy.SpringerPlus · 2016Article
- Safety and feasibility of an enhanced recovery pathway after a liver resection: prospective cohort study.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2015Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesEnhanced recovery after surgery (ERAS) protocols are coming to represent the standard of care in many surgical procedures, yet data on their use following hepatic surgery are scarce. The aim of this study was to review outcomes after the introduction of an ERAS programme for patients undergoing open hepatic resection.
methodsA retrospective review of patients undergoing open hepatic resection from March 2005 to June 2011 was carried out. The primary outcome measure was total hospital length of stay (LoS) (including readmissions). Principles associated with enhanced recovery after surgery were documented and analysed as independent predictors of hospital LoS.
resultsA total of 120 patients underwent 128 consecutive hepatic resections, 84 (65.6%) of which were performed in patients with underlying colorectal metastases and 64 (50.0%) of which comprised major hepatic resections. The median hospital LoS was reduced from 6 days to 3 days from the first to the fourth quartiles of the study population (P = 0.021). The proportion of patients suffering complications (26.6%) remained constant across the series. Readmissions increased from the first quartile (none of 32 patients) to the fourth quartile (seven of 32 patients) (P = 0.044). Following multivariate analysis, only the development of a complication (P < 0.001), total postoperative i.v. fluid (P = 0.003) and formation of an anastomosis (P = 0.006) were independent predictors of hospital LoS.
conclusionsAn ERAS programme can be successfully applied to patients undergoing open hepatic resection with a reduction in hospital LoS, but an increase in the rate of readmissions.
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