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Related Experiment Video

Updated: May 27, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
04:41

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Published on: March 10, 2023

Fast-track programmes for hepatopancreatic resections: where do we stand?

Lidewij Spelt1, Daniel Ansari, Christian Sturesson

  • 1Department of Surgery, Clinical Sciences Lund, Skåne University Hospital Lund and Lund University, Sweden.

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
|November 16, 2011
PubMed
Summary

Fast-track (FT) programs can shorten hospital stays for liver and pancreatic surgery patients. While feasible, further research is needed to optimize FT elements for these specific surgical procedures.

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Area of Science:

  • Hepatobiliary Surgery
  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Fast-track (FT) programs are multimodal strategies designed to reduce surgical stress and accelerate patient recovery.
  • These programs have shown promise in various surgical fields, but their specific application in hepatopancreatic surgery requires evaluation.

Purpose of the Study:

  • To systematically review the existing literature on the efficacy of fast-track (FT) programs compared to conventional recovery strategies in patients undergoing hepatopancreatic surgery.

Main Methods:

  • A systematic literature search was conducted across major databases including PubMed, Embase, and the Cochrane Library.
  • Studies comparing FT recovery versus conventional care for liver and pancreatic resections were included in the review.

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Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) Procedure
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Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) Procedure

Published on: August 14, 2017

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Last Updated: May 27, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
04:41

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Published on: March 10, 2023

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) Procedure
07:29

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) Procedure

Published on: August 14, 2017

Main Results:

  • For liver resections, FT care significantly reduced primary hospital stay in 2 of 3 studies, with no significant differences in readmission, morbidity, or mortality.
  • For pancreatic resections, FT care significantly shortened hospital stay in 3 of 4 studies. One study noted decreased readmission rates, and another showed lower morbidity with FT care. Mortality rates were similar between groups.

Conclusions:

  • Fast-track rehabilitation is a feasible approach for patients undergoing liver and pancreatic surgery.
  • Future research should concentrate on refining and optimizing the individual components of FT programs tailored to the specific needs of hepatopancreatic surgical patients.