ArticleWorld journal of surgery2014
Perioperative care with fast-track management in patients undergoing pancreaticoduodenectomy.
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 12 papers, 6 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 6 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Costs and clinical benefits of enhanced recovery after surgery (ERAS) in pancreaticoduodenectomy: an updated systematic review and meta-analysis.Journal of cancer research and clinical oncology · 2023Pooled it
- The Safety and Feasibility of Enhanced Recovery after Surgery in Patients Undergoing Pancreaticoduodenectomy: An Updated Meta-Analysis.BioMed research international · 2020Pooled it
- Impact of Enhanced Recovery After Surgery on Postoperative Recovery for Pancreaticoduodenectomy: Pooled Analysis of Observational Study.Frontiers in oncology · 2019Pooled it
- Impact of enhanced recovery after surgery programs on pancreatic surgery: A meta-analysis.World journal of gastroenterology · 2018Pooled it
- Enhanced Recovery After Surgery (ERASWorld journal of surgery · 2017Pooled it
- Pooled it
- Prevalence of relevant early complications during the first 24 h on a normal ward in patients following PACU care after medium and major surgery: a monocentric retrospective observational study.Langenbeck's archives of surgery · 2024Observational
- The role of preoperative biliary drainage on postoperative outcome after pancreaticoduodenectomy in patients with obstructive jaundice.Gland surgery · 2023Article
- Evidence for enhanced recovery in pancreatic cancer surgery.Langenbeck's archives of surgery · 2020Review
- Early Versus Late Oral Refeeding After Pancreaticoduodenectomy for Malignancy: a Comparative Belgian-French Study in Two Tertiary Centers.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Standardization of perioperative care facilitates safe discharge by postoperative day five after pancreaticoduodenectomy.PloS one · 2018Article
- Enhanced recovery pathways in pancreatic surgery: State of the art.World journal of gastroenterology · 2016Review
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt has been considered that allowing patients to return to daily life earlier after surgery helps recovery of physiological function and reduces postoperative complications and hospital stay. We investigated the usefulness of fast-track management in perioperative care of patients undergoing pancreaticoduodenectomy (PD).
methodsPatients (n = 90) who received conventional perioperative management from 2005 to 2009 were included as the 'conventional group' (historical control group), and patients who received perioperative care with fast-track management (n = 100) from 2010 to March 2013 were included as the 'fast-track group'. To evaluate the efficacy of perioperative care with fast-track management, the incidence of postoperative complications and the length of hospital stay were compared between the two groups (comparative study). For statistical analysis, univariate analysis was performed using the χ (2) test or Fisher's exact test.
resultsThere was no significant difference between the two groups in sex, mean age, presence/absence of diabetes mellitus, preoperative drainage for jaundice, previous disease, operative procedure, mean duration of operation, or blood loss (p < 0.01). The incidence of surgical site infection in the conventional group and fast-track group was 28.9 and 14.0 %, respectively, with a significant difference between the two groups (p = 0.019). In addition, the incidence of pancreatic fistula (grade B, C) significantly differed between the two groups (27.8 % in the conventional group, 9.0 % in the fast-track group; p = 0.001). The mean postoperative hospital stay was 36.3 days in the conventional group and 21.9 days in the fast-track group (p < 0.001).
conclusionsPerioperative care with fast-track management may reduce postoperative complications and decrease the length of hospital stay in patients undergoing PD.
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