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Related Experiment Video

Updated: May 13, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

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Fast-track program in laparoscopic liver surgery: Theory or fact?

Belinda Sánchez-Pérez1, José Manuel Aranda-Narváez, Miguel Angel Suárez-Muñoz

  • 1Belinda Sánchez-Pérez, José Manuel Aranda-Narváez, Miguel Angel Suárez-Muñoz, Moises elAdel-delFresno, José Luis Fernández-Aguilar, Jose Antonio Pérez-Daga, Ysabel Pulido-Roa, Julio Santoyo-Santoyo, Department of General, Digestive and Transplantation Surgery, University Regional Hospital Carlos Haya, 29010 Málaga, Spain.

World Journal of Gastrointestinal Surgery
|March 16, 2013
PubMed
Summary

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Implementing a fast-track (FT) program for laparoscopic liver surgery enhances patient recovery. This approach improves patient discharge rates without increasing complications or hospital readmissions.

Area of Science:

  • Hepatobiliary surgery
  • Minimally invasive surgery
  • Surgical patient recovery

Background:

  • Laparoscopic liver surgery offers benefits but requires optimized perioperative care.
  • Traditional care pathways may prolong hospital stays and increase costs.
  • Fast-track (FT) programs aim to expedite recovery after major surgery.

Purpose of the Study:

  • To evaluate the impact of a fast-track program on outcomes after laparoscopic liver surgery.
  • To compare postoperative stay, readmissions, morbidity, and mortality between FT and traditional care groups.
  • To assess secondary outcomes including surgical duration, drain use, and transfusion requirements.

Main Methods:

  • A retrospective analysis of 43 patients undergoing laparoscopic liver surgery was performed.
Keywords:
Fast-trackLaparoscopyLiver surgery

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  • Patients were divided into a control group (traditional care) and a fast-track group (FT program).
  • Outcomes analyzed included postoperative stay, readmissions, morbidity, mortality, and secondary surgical parameters.

    • Main Results:

    • The fast-track group showed a higher proportion of patients discharged within 3 days (80.8% vs 58.8%).
    • While postoperative stay was similar (2.5 vs 3 days), FT patients demonstrated quicker early discharge.
    • No significant differences in readmissions, morbidity, or mortality were observed between groups.

    Conclusions:

    • A fast-track program effectively accelerates patient recovery after laparoscopic liver surgery.
    • The FT program improves early discharge rates without compromising patient safety or increasing complications.
    • Implementing FT protocols can potentially reduce hospital stay duration and associated healthcare costs.