ArticleWorld journal of surgery2019
Enhanced Recovery in Liver Transplantation: A Feasibility Study.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Feasibility of Early Oral Nutritional Supplementation After Liver Transplantation: A Randomized Pilot Study.Clinical transplantation · 2026Trial
- Predictors of early extubation after pediatric liver transplantation: a single-center retrospective cohort study.BMC anesthesiology · 2026Observational
- A review of enhanced recovery after surgery in kidney and liver transplantation and outline of the Newcastle ERAS protocols.Frontiers in transplantation · 2026Review
- Efficacy and safety of enhanced recovery after surgery protocol on liver transplantation: A meta-analysis.World journal of gastrointestinal surgery · 2025Article
- Enhanced recovery for liver transplantation: recommendations from the 2022 International Liver Transplantation Society Consensus Conference: towards better clinical care in transplant hepatology.Hepatobiliary surgery and nutrition · 2024Article
- Autologous liver transplantation for unresectable hepatobiliary malignancies in enhanced recovery after surgery model.Open medicine (Warsaw, Poland) · 2024Article
- The influence of delirium on mortality and length of ICU stay and analysis of risk factors for delirium after liver transplantation.Frontiers in neurology · 2023Article
- The Enhanced Recovery after Surgery (ERAS) Pathway Is a Safe Journey for Kidney Transplant Recipients during the "Extended Criteria Donor" Era.Pathogens (Basel, Switzerland) · 2022Article
- Enhanced recovery after surgery in liver transplantation: Challenges and feasibility.World journal of transplantation · 2022Article
- Cryptogenic hepatitis patients have a higher Bartonella sp.-DNA detection in blood and skin samples than patients with non-viral hepatitis of known cause.PLoS neglected tropical diseases · 2022Article
- Textbook Outcome Following Liver Transplantation.World journal of surgery · 2021Article
- Enhanced Recovery after Surgery: History, Key Advancements and Developments in Transplant Surgery.Journal of clinical medicine · 2021Review
- Risk factors and impact of early anastomotic biliary complications after liver transplantation: UK registry analysis.BJS open · 2021Article
- Gender-related differences in the performance of sequential organ failure assessment (SOFA) to predict septic shock after percutaneous nephrolithotomy.Urolithiasis · 2021Article
- Practical model to identify liver transplant recipients at low risk of postoperative haemorrhage, bile leakage and ascites.BJS open · 2021Observational
- Intraoperative cardiac complications in liver transplantation: A comprehensive review of management strategies.Saudi journal of anaesthesiaReview
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnhanced Recovery After Surgery (ERAS) programmes after surgery are effective in reducing length of stay, functional recovery and complication rates in liver surgery (LS) with the indirect advantage of reducing hospitalisation costs. Preoperative comorbidities, challenging surgical procedures and complex post-operative management are the points that liver transplantation (LT) shares with LS. Nevertheless, there is little evidence regarding the feasibility and safety of ERAS programmes in LT.
methodsWe designed a pilot, small-scale, feasibility study to assess the impact on hospital stay, protocol compliance and safety of an ERAS programme tailored for LT. The ERAS arm was compared with a 1:2 match paired control arm with similar characteristics. All patients with MELD <25 were included. A dedicated LT-tailored protocol was derived from publications on ERAS liver surgery.
resultsTen patients were included in the Fast-Trans arm. It was observed a 47% reduction of the total LOS, as compared to the control arm: 9.5 (9.0-10.5) days versus 18.0 (14.3-24.3) days, respectively, p <0.001. The protocol achieved 72.9% compliance. No differences were observed in terms of post-operative complications or readmission rates after discharge between the two arms. Overall, it was observed a reduction of length of stay in ICU and surgical ward in the Fast-Trans arm compared with the control arm.
conclusionConsidered the main points in common between LS and LT, this small-scale study suggests that the application of an ERAS programme tailored to the LT setting is feasible. Further testing will be appropriate to generalise these findings.
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