Nonstrict and individual enhanced recovery after surgery (ERAS) in partial hepatectomy.

Background: We aimed to evaluate postoperative recovery and short-term outcomes of patients undergoing partial hepatectomy managed with a nonstrict and individual enhanced recovery after surgery (ERAS) program.

Methods: A retrospective analysis of 168 partial hepatectomy patients in our institution was included. The discharged day and the respective impact of element application throughout the duration were analyzed.

Results: When all the required elements of ERAS were fully implemented, the median discharge day was 6. The more deviation occurred, the more delayed the patient discharged ( < 0.01). Preoperative ASA score, basic conditions of patients and ages were revealed closely associated with discharge day ( < 0.001). Without or an early removal of tubes and early oral feeding reduced hospital stay statistically ( < 0.01). Early discharge of patients (<3 days) did not show an increased complication incidence or readmission ( > 0.05).

Conclusion: Nonstrict and individual use of ERAS in partial hepatectomy reduced postoperative length of stay without increasing complication rate. Our study proposes a modulation of ERAS according to the needs and acceptance of patients. In a word, better optionally required rather than mandatorily meet.