Short Papers
Abstract
In our unit an enhanced recovery after liver surgery (ERAS) protocol was designed and was successfully implemented in 2011. The purpose of this study was to evaluate the effects and present post-operative outcomes after liver surgery in the age of ERAS. Methods: Patients who underwent liver resection from 2011 until 2015 were identified. Major liver surgery was defined as the resection of 3 Couinaud's segments. Major morbidity was defined as the percentage of Clavien-Dindo grade III/IV post-operative complications. Analyse-it v4.92.4 software was used for statistical analysis. Values are presented as median(IQR). Results: Liver resection was performed in 490 patients with age of 64.4(17.2) years old and ASA status 2(0). Minor to major surgery ratio was 1:1. Estimated blood loss, operating time, ITU and hospital stay were significantly higher in the major surgery group, (p70 years old), (1% vs 22%, p=0.018). Uni and multivariate analysis showed that advanced age was associated with increased LoS (rs=0.325, 95%CI: 0.224-0.419, p<0.0001). Conclusions: ERAS following liver surgery is feasible, safe and effective in high volume liver centers. Further optimisation of the ERAS protocols is suggested especially regarding the elderly population and reducing minor morbidity.
Related Papers
- → Interleucinas na encefalopatia hipóxico-isquêmica(2003)14 cited
- Susquehanna Chorale Spring Concert "Roots and Wings"(2017)
- → Genentech taps Affimed’s antibodies(2018)
- Enxerto livre de arteria epigastrica inferior: avaliacao hemodinamica e angiografica pre e pos-operatoria(1988)
- → KOMPLIKASI REGIONAL ANESTESI PADA PEDIATRIK(2023)