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Enhanced Recovery Pathways in Pancreatic Surgery
What is already known: Mortality in pancreatic surgery has improved dramatically over the past number of years, from 25% in the 1970’s to only 2% in high-volume centres. Morbidity however remains in excess of 40%. The ERAS society has produced guidelines for pancreatic surgery in 2012, which can be found here.
What this paper adds: This is a really good overview of ERAS for pancreatic surgery, with both a literature review and a more detailed look at some of the specific pancreatic elements. These include: pre-operative biliary drainage, use of intra-abdominal drains post-op, somatostatin analogues and different analgesic regimens. The author also gives a detailed day to day run through of his own institutional ERAS programme.
Chris Jones, Guildford.
What is already known: Higher compliance (adherence) to ERAS pathways has been shown in different types of surgery to improve postoperative outcomes. Data on this subject in ERAS for…
Expert review Delayed return of gastrointestinal function after hepatectomy in an ERAS program: incidence and risk factorsSara Arfa et al. HPB. 2022 (1) What is already known: Oral nutrition…
Enhanced Recovery After Surgery in Octogenarians undergoing hepatopancreatobiliary surgery Jordan N Robinson, Joshua M K Davis, Ryan C Pickens, Allyson R Cochran, Lacey King, Patrick Salibi,, David A Iannitti,…
Impact of 2016 Enhanced Recovery After Surgery (ERAS) Recommendations on Outcomes after Hepatectomy in Cirrhotic and Non-Cirrhotic Patients Thibault Lunel et al. World J Surg. 2021 (6) What…
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