ERAS in minimally invasive hepatectomy.

Area of Science:

• Hepatobiliary Surgery
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Open hepatectomy is linked to substantial post-operative morbidity and mortality.
• Minimally invasive hepatectomy presents a potential solution to mitigate these adverse outcomes.
• Enhanced Recovery After Surgery (ERAS) programs are established multimodal pathways for improving surgical recovery.

Purpose of the Study:

• To review the current evidence supporting ERAS in minimally invasive hepatectomy.
• To identify challenges associated with implementing ERAS in this surgical context.
• To explore future directions for ERAS in minimally invasive liver surgery.

Main Methods:

• Comprehensive literature search of published studies on ERAS and minimally invasive hepatectomy.
• Analysis of evidence regarding patient outcomes, complications, and hospital stay.
• Synthesis of data to identify implementation challenges and future research needs.

Main Results:

• Minimally invasive hepatectomy is associated with reduced post-operative complications and shorter hospital stays.
• ERAS protocols demonstrate potential for further enhancing recovery in minimally invasive hepatectomy patients.
• Evidence synthesis highlights specific areas for protocol refinement and further investigation.

Conclusions:

• ERAS programs are a promising strategy to optimize outcomes for minimally invasive hepatectomy.
• Addressing implementation challenges is crucial for widespread adoption of ERAS in liver surgery.
• Further research is needed to fully elucidate the long-term benefits and optimal application of ERAS in this field.