ArticleWorld journal of surgery2016
Implementation of Enhanced Recovery (ERAS) in Colorectal Surgery Has a Positive Impact on Non-ERAS Liver Surgery Patients.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Specific Items of Enhanced Recovery After Surgery for Liver Surgery in Cirrhotic Patients: A Systematic Review.World journal of surgery · 2025Pooled it
- Enhanced Recovery After Surgery (ERAS) Reduces Hospital Costs and Improve Clinical Outcomes in Liver Surgery: a Systematic Review and Meta-Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Pooled it
- Enhanced Recovery after Surgery Programs for Liver Resection: a Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Pooled it
- Assessing the perioperative gain of weight (Δweight) as a determinant of morbidity after kidney transplantation: a retrospective exploratory study.Scientific reports · 2024Article
- Enhanced recovery after liver surgery in cirrhotic patients: a systematic review and meta-analysis.Perioperative medicine (London, England) · 2024Article
- Impact of complexity in minimally invasive liver surgery on enhanced recovery measures: prospective study.BJS open · 2024Observational
- An algorithm based on the postoperative decrease of albumin (ΔAlb) to anticipate complications after liver surgery.Perioperative medicine (London, England) · 2022Article
- Cost-Benefit Analysis of an Enhanced Recovery Program for Gastrectomy A Retrospective Controlled Analysis.World journal of surgery · 2021Article
- Impact of 2016 Enhanced Recovery After Surgery (ERAS) Recommendations on Outcomes after Hepatectomy in Cirrhotic and Non-Cirrhotic Patients.World journal of surgery · 2021Article
- Article
- The impact of enhanced recovery on open and laparoscopic liver resections.Updates in surgery · 2020Article
- Recommendations for Managing Opioid-Tolerant Surgical Patients within Enhanced Recovery Pathways.Current pain and headache reports · 2020Review
- Cost-benefit analysis of enhanced recovery after hepatectomy in Chinese Han population.Medicine · 2018Article
- Interdepartmental Spread of Innovations: A Multicentre Study of the Enhanced Recovery After Surgery Programme.World journal of surgery · 2018Article
- Application of an enhanced recovery pathway for ileostomy closure: a case-control trial with surprising results.Techniques in coloproctology · 2018Article
- Is Enhanced Recovery the New Standard of Care in Microsurgical Breast Reconstruction?Plastic and reconstructive surgery · 2017Article
- Colorectal surgery in Italy. Criteria to identify the hospital units and the tertiary referral centers entitled to perform it.Updates in surgery · 2016Review
- Compliance to enhanced recovery program in liver resection surgery: A retrospective cohort study.Journal of anaesthesiology, clinical pharmacologyArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhanced recovery after surgery (ERAS) reduces complications and hospital stay in colorectal surgery. Thereafter, ERAS principles were extended to liver surgery. Previous implementation of an ERAS program in colorectal surgery may influence patients undergoing liver surgery in a non-ERAS setting, on the same ward. This study aimed to test this hypothesis.
methodsRetrospective analysis based on prospective data of the adherence to the institutional ERAS-liver protocol (compliance) in three cohorts of consecutive patients undergoing elective liver surgery, between June 2010 and July 2014: before any ERAS implementation (pre-ERAS n = 50), after implementation of ERAS in colorectal (intermediate n = 50), and after implementation of ERAS in liver surgery (ERAS-liver n = 74). Outcomes were functional recovery, postoperative complications, hospital stay, and readmissions.
resultsThe three groups were comparable for demographics; laparoscopy was more frequent in ERAS-liver (p = 0.009). Compliance with the enhanced recovery protocol increased along the three periods (pre-ERAS, intermediate, and ERAS-liver), regardless of the perioperative phase (pre-, intra-, or postoperative). ERAS-liver group displayed the highest overall compliance rate with 73.8 %, compared to 39.9 and 57.4 % for pre-ERAS and intermediate groups (p = 0.072/0.056). Overall complications were unchanged (p = 0.185), whereas intermediate and ERAS-liver groups showed decreased major complications (p = 0.034). Consistently, hospital stay was reduced by 2 days (p = 0.005) without increased readmissions (p = 0.158).
conclusionsThe previous implementation of an ERAS protocol in colorectal surgery may induce a positive impact on patients undergoing non-ERAS-liver surgery on the same ward. These results suggest that ERAS is safely applicable in liver surgery and associated with benefits.
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