Enhanced recovery after surgery program reduces length of hospital stay and complications in liver resection
نویسندگان
چکیده
BACKGROUND Many enhanced recovery after surgery (ERAS) guidelines have already been established in several kinds of surgeries. But due to concerns of the specific complications, it has not yet been considered the standard of care in liver surgery. OBJECTIVE The aim of this review is to assess the effect of ERAS in patients undergoing liver surgery. METHODS EMBASE, CNKI, PubMed, and the Cochrane Database were searched for randomized controlled trials (RCTs) comparing ERAS with conventional care in patients undergoing liver surgery. Subgroup meta-analysis between laparoscopic and open surgical approaches to liver resection was also conducted. RESULTS Seven RCTs were included, representing 996 patients. Length of stay (LOS) (MD -3.17, 95% CI: -3.99 to -2.35, P < .00001, I = 89%) and time to first flatus (MD -0.9, 95% CI: -1.36 to -0.45, P = .0001, I = 98%) were both reduced in the ERAS group. There were also fewer complications in the ERAS group (OR 0.52, 95% CI: 0.37-0.72, P < .0001, I = 0%). CONCLUSION The ERAS program can obviously enhance short-term recovery after liver resection. It is safe and worthwhile. A specific ERAS guideline for liver resection is recommended.
منابع مشابه
Enhanced Recovery After Surgery (ERAS) for Spine Surgery, a Review Article
Despite surgical, medical, technological, and anesthetic improvements, Patients are faced with various consequences and complications after spine surgery. Accelerate Recovery After Surgery (ERAS) programs is a multimodal, multidisciplinary perioperative care approach that seeks to improve the quality of surgery, reduce complications, reduce the length of stay, and ultimately reduce costs. This...
متن کاملEnhanced recovery in colorectal surgery: a multicentre study
BACKGROUND Major colorectal surgery usually requires a hospital stay of more than 12 days. Inadequate pain management, intestinal dysfunction and immobilisation are the main factors associated with delay in recovery. The present work assesses the short and medium term results achieved by an enhanced recovery program based on previously published protocols. METHODS This prospective study, perf...
متن کاملEnhanced Recovery Program Versus Traditional Care in Laparoscopic Hepatectomy
Enhanced recovery after surgery (ERAS) has shown effectiveness in terms of reducing the hospital stay and cost associated with open liver resection. However, the benefit of ERAS in patients undergoing laparoscopic liver resection is still unclear, and clinical studies on this topic are limited.The ERAS program for laparoscopic liver resection was used in a group of 80 patients (ERAS group). The...
متن کاملEffect of Gum-chewing on the Movement of Intestines after Abdominal Resection and Length of Hospital Stay
Background and Objectives: Postoperative ileus is common after abdominal resection. It causes gas store, distention, nausea, vomiting, and even pain. This study examines the impact of gum chewing as a type of sham feeding on the duration of postoperative ileus. Methods: In this randomized control trial study, 70 patients in two groups (each group n=35) underwent abdominal resection. The A gro...
متن کاملThe effect of ondansetron and atropine administration on postoperative nausea and vomiting and duration of recovery stay in patients who undergoing strabismus surgery
Background: Nausea and vomiting is one of the most common complications after the strabismus surgery. In this study, we evaluated the efficacy of atropine versus ondansetron administration on the incidence of postoperative nausea and vomiting and duration of recovery stay in patients undergoing this procedure. Methods: In this case-control study, 90 patients between 3 to 30 years old who were ...
متن کامل