Background And Aim: Aim of the study was to assess the impact of ERAS approach ("fluid restrictive and drainless") on open liver resections for HCC comparing their outcome with open resections in pre-ERAS period and with laparoscopic surgery.
Study Design: 207 patients undergoing minor liver resection for HCC were divided into three groups: Group A, open minor resections in pre-ERAS period (95 patients); Group B, laparoscopic ERAS resections (55 patients); Group C, open ERAS resections (57 patients).
Results: Blood loss was lower in group C and B compared with group A. Postoperative morbidity was 26.5% in group A, 16.3% in group B and 12.1% in group C (p<0.05). Ascites was less frequent in group B (7.5%) and C (6.2%) compared with group A (12%). Median time for functional recovery in group B (3 days) and C (3 days) was shorter compared with group A (5 days).
Conclusions: Laparoscopic approach confirms to be associated with reduced blood loss and postoperative morbidity. In patients who cannot be candidates to minimally-invasive approach, ERAS management seems to allow blood loss and postoperative morbidity reduction: indeed, results achieved in this group of patients are more similar to those of laparoscopy than to pre-ERAS open surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.dld.2016.06.032 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
It's about time: moving away from statistical analysis of ecotoxicity data.
Integr Environ Assess Manag
January 2025
DEBtox Research, Stevensweert, The Netherlands.
Environmental risk assessment of chemicals (ERA) relies on single-species laboratory testing to establish the toxic properties of a compound. However, ERA is not concerned with toxicity under laboratory conditions: it needs to assess the impacts of the compound in the real world. Data-driven statistical analyses (e.
View Article and Find Full Text PDFThe effect of enhanced recovery protocols on postoperative rehabilitation in orthopedic surgery patients.
Medicine (Baltimore)
January 2025
The Second Department of Orthopaedics, NO.3 Hospital of Xi'an City, Xi'an, China.
Orthopedics is a critical hospital department that has experienced shifts in the spectrum of orthopedic conditions due to societal advancements in recent years. While surgical interventions are effective in restoring fracture function, perioperative care remains a key factor in optimizing patient recovery. This study aims to assess the impact of orthopedic rehabilitation care based on the enhanced recovery after surgery (ERAS) protocol on postoperative rehabilitation.
View Article and Find Full Text PDFEnhanced recovery after surgery for adolescent idiopathic scoliosis: a revised systematic review and meta‑analysis.
Spine Deform
January 2025
Orthopedic Unit, Department of Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
Purpose: Adolescent idiopathic scoliosis surgery (AIS) is often associated with high costs and significant recovery challenges. Enhanced recovery after surgery (ERAS) protocols aim to improve outcomes, reducing hospital stays and complications compared to traditional (TD) pathways. This study evaluates the impact of ERAS protocols on AIS treatment.
View Article and Find Full Text PDFFirst-time use of electronic patient-reported outcome measures in a cluster randomized trial: a qualitative study.
J Patient Rep Outcomes
January 2025
Department of Health Sciences Ålesund, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Ålesund, Norway.
Background: Although there is clear evidence supporting the beneficial effects of regularly assessing patient-reported outcomes (PROs), the comprehensive integration of patient-reported outcome measures (PROMs) into routine cancer care remains limited. This study aimed to explore the facilitators and barriers encountered by principal investigators (PIs) (oncologists) and study nurses during the implementation of the Eir ePROM within a cluster randomized trial (c-RCT) in cancer outpatient clinics. Additionally, we sought to examine the influence of Eir on the working routines of the participants.
View Article and Find Full Text PDFTo rest or not to rest after sacral colpopexy? Dispelling an old custom in the ERAS time.
Arch Gynecol Obstet
January 2025
Department of Gynaecology and Obstetrics, Fondazione Policlinico Universitario "A. Gemelli", Università Cattolica del Sacro Cuore, Rome, Italy.
Purpose: Despite the advent of the ERAS Program, recovery after urogynecological surgery is still a highly debated topic in clinical practice. The majority of gynecologic surgeons, in fact, continue to advise patients to home rest and to avoid lifting heavy objects after surgery. The aim of the present study was to verify the impact of a moderate-high physical activity and recovery after surgery on anatomical results after LSC, with a 2-year follow-up (FU).
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!