AI 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.
Article Abstract
Introduction: It is still unclear whether enhanced recovery programs (ERPs) reduce postoperative morbidity after liver surgery. This study investigated the effect on liver surgery outcomes of labeling as a reference center for ERP.
Materials And Methods: Perioperative data from 75 consecutive patients who underwent hepatectomy in our institution after implementation and labeling of our ERP were retrospectively compared to 75 patients managed before ERP. Length of hospital stay, postoperative complications, and adherence to protocol were examined.
Results: Patient demographics, comorbidities, and intraoperative data were similar in the two groups. Our ERP resulted in shorter length of stay (3 days [1-6] vs. 4 days [2-7.5], p = 0.03) and fewer postoperative complications (24% vs. 45.3%, p = 0.0067). This reduction in postoperative morbidity can be attributed exclusively to a lower rate of minor complications (Clavien-dindo grade < IIIa), and in particular to a lower rate of postoperative ileus, after labeling. (5.3% vs. 25.3%, p = 0.0019). Other medical and surgical complications were not significantly reduced. Adherence to protocol improved after labeling (17 [16-18] vs. 14 [13-16] items, p < 0.001).
Conclusions: The application of a labeled enhanced recovery program for liver surgery was associated with a significant shortening of hospital stay and a halving of postoperative morbidity, mainly ileus.
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| http://dx.doi.org/10.1007/s00464-024-10796-w | DOI Listing |
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