ArticleWorld journal of surgery2014
Is current perioperative practice in hepatic surgery based on enhanced recovery after surgery (ERAS) principles?
Article in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- The Safety and Feasibility of Enhanced Recovery after Surgery in Patients Undergoing Pancreaticoduodenectomy: An Updated Meta-Analysis.BioMed research international · 2020Pooled it
- Fast track program in liver resection: a PRISMA-compliant systematic review and meta-analysis.Medicine · 2016Pooled it
- Improving the quality of liver resection: a systematic review and critical analysis of the available prognostic models.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2015Pooled it
- Does enhanced recovery after surgery programs improve clinical outcomes in liver cancer surgery?World journal of gastrointestinal oncology · 2024Article
- Effect of digital three-dimensional reconstruction technique combined with indocyanine green (ICG) excretion test for precision hepatectomy in primary liver cancer.American journal of translational research · 2023Article
- Impact of enhanced recovery after surgery protocol compliance on patients' outcome in benign hysterectomy and establishment of a predictive nomogram model.BMC anesthesiology · 2021Observational
- 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
- The safety of omitting prophylactic abdominal drainage after laparoscopic liver resection: Retrospective analysis of 100 consecutive cases.Annals of medicine and surgery (2012) · 2020Article
- Enhanced Recovery in Liver Transplantation: A Feasibility Study.World journal of surgery · 2019Article
- Cost-benefit analysis of enhanced recovery after hepatectomy in Chinese Han population.Medicine · 2018Article
- Current status of enhanced recovery after surgery (ERAS) protocol in gastrointestinal surgery.Medical oncology (Northwood, London, England) · 2018Review
- Is routine abdominal drainage necessary after liver resection?Surgery today · 2017Article
- Implementation of Enhanced Recovery (ERAS) in Colorectal Surgery Has a Positive Impact on Non-ERAS Liver Surgery Patients.World journal of surgery · 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
- Enhanced recovery after surgery protocols for open hepatectomy--physiology, immunomodulation, and implementation.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Review
- Article
- The present and future enhanced recovery after surgery for bladder cancer.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
14 authors at 11 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe worldwide introduction of multimodal enhanced recovery programs has also changed perioperative care in patients who undergo liver resection. This study was performed to assess current perioperative practice in liver surgery in 11 European HPB centers and compare it to enhanced recovery after surgery (ERAS) principles.
methodsIn each unit, 15 consecutive patients (N = 165) who underwent hepatectomy between 2010 and 2012 were retrospectively analyzed. Compliance was classified as "full," "partial," or "poor" whenever ≥ 80, ≥ 50, or <50 % of the 22 ERAS protocol core items were met. The primary study end point was overall compliance with the ERAS core program per unit and per perioperative phase.
resultsMost patients were operated on for malignancy (91 %) and 56 % were minor hepatectomies. The median number of implemented ERAS core items was 9 (range = 7-12) across all centers. Compliance was partial in the preoperative (median 2 of 3 items, range = 1-3) and perioperative phases (median 5 of 10 items, range: 4-7). Median postoperative compliance was poor (median 2 of 9 items, range = 0-4). A statistically significant difference was observed between median length of stay and median time to recovery (7 vs. 5 days, P < 0.001).
conclusionPerioperative care among centers that perform liver resections varied substantially. In current HPB surgical practice, some elements of the ERAS program, e.g., preoperative counselling and minimal fasting, have already been implemented. Elements in the perioperative phase (avoidance of drains and nasogastric tube) and postoperative phase (early resumption of oral intake, early mobilization, and use of recovery criteria) should be further optimized.
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