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Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
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Enhanced recovery after surgery for liver resection
C C N Chong1, W Y Chung1, Y S Cheung1
1Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|March 29, 2019
Summary
The Enhanced Recovery After Surgery (ERAS) program is safe for liver resection patients. It significantly reduces hospital stays for open liver surgery but not laparoscopic procedures.
Area of Science:
- Hepatobiliary Surgery
- Surgical Outcomes
- Perioperative Care
Background:
- Enhanced Recovery After Surgery (ERAS) protocols aim to improve patient outcomes and reduce hospital stays.
- Liver resection is a major surgical procedure with significant postoperative recovery implications.
- Evaluating ERAS efficacy in liver surgery is crucial for optimizing patient care.
Purpose of the Study:
- To assess the effectiveness and feasibility of an ERAS program for liver resection patients.
- To compare clinical outcomes between ERAS and conventional perioperative care for liver surgery.
Main Methods:
- Implementation of a multidisciplinary ERAS protocol for open and laparoscopic liver resections.
- Comparison of clinical outcomes using propensity score matching between ERAS and conventional groups.
- Data collection on length of hospital stay and complication rates.
Main Results:
- ERAS was associated with a significantly shorter hospital stay in open liver resection (P=0.033) without increased complications.
- No significant difference in hospital stay was observed for laparoscopic liver resection patients.
- No readmissions occurred in the ERAS cohort.
Conclusions:
- The ERAS perioperative program for liver resection is safe and feasible.
- ERAS demonstrates a significant benefit in reducing hospital stay for open liver resections.
- Further investigation may be needed for laparoscopic liver resection optimization.
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