Publications by authors named "Gabriel Thierry"

Article Synopsis
  • High compliance with enhanced recovery programs (ERP) is correlated with better healthcare outcomes, specifically in liver surgery (LS) patients.
  • A study analyzed 706 LS patients and found that those with over 70% ERP compliance had significantly higher rates of achieving textbook outcomes (TO) compared to those with lower compliance.
  • Key factors negatively affecting TO achievement included having cholangiocarcinoma, undergoing high complexity LS, experiencing intraoperative hypotension, and suffering from postoperative ileus.
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Article Synopsis
  • A study was conducted to analyze the impact of Enhanced Recovery Programs (ERPs) on patients undergoing liver surgery in a designated reference center.
  • Researchers compared data from 75 patients treated after implementing the ERP to 75 patients treated before, focusing on hospital stay length, complications, and protocol adherence.
  • The results showed a significant decrease in hospital stay duration (3 vs. 4 days) and postoperative complications (24% vs. 45.3%), mainly due to a reduction in minor issues like postoperative ileus, alongside improved adherence to recovery protocols.
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The concept of enhanced recovery in colorectal surgery is a multimodal and multidisciplinary programme aiming at reducing surgical stress through optimization of patient care in the pre-, intra-, and postoperative periods. It allows to reduce postoperative morbidity and the duration of the hospital stay. We describe the case of an elderly patient with multiple comorbidities who was scheduled for a sigmoidectomy in an enhanced rehabilitation programme, and emphasize the interest and specificity of such a rehabilitation protocol for the elderly.

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