HPB

Liver

The ERAS Society group for liver surgery recently published the guidelines for ERAS. The final recommendations were validated using the Delphi method. Consensus was reached among experts after 3 rounds. Prophylactic nasogastric intubation and prophylactic abdominal drainage should be omitted. The use of postoperative oral laxatives and minimally invasive surgery results in a quicker bowel recovery and shorter hospital stay. Goal directed fluid therapy with maintenance of a low intraoperative central venous pressure induces faster recovery. Early oral intake and mobilization is recommended. There is no evidence to prefer epidural to other types of analgesia.

The current ERAS recommendations for liver surgery were elaborated based on the best available evidence and endorsed by the Delphi method. Nevertheless, prospective studies need to confirm the clinical use of the suggested protocol.

Expert Reviews

ERAS and the impact of sarcopenia on outcomes

ERAS and the impact of sarcopenia on outcomes Pędziwiatr M, Pisarska M, Major P, Grochowska A, Matłok M, Przęczek K, Stefura T, Budzyński A, Kłęk S. Laparoscopic colorectal cancer surgery…

Outcomes after ERAS for liver resection surgery

Outcomes after ERAS for liver resection surgery Hughes MJ, Chong J, Harrison E, Wigmore S. Short-term outcomes after liver resection for malignant and benign disease in theage of ERAS. HPB (Oxford).…

Contacts

HPB surgeon

Emmanuel Melloul (Switzerland)

Dr. Emmanuel Melloul was born and raised in Switzerland, and received his medical degree at Lausanne University. He is a Hepatobiliary (HPB) and Pancreatic surgeon, and completed his General…

Senior fellow in Hepato-Pancreato-Biliary (HPB) surgery

Dr Didier Roulin (Switzerland)

Dr. Didier Roulin is a senior fellow in Hepato-Pancreato-Biliary (HPB) surgery at Lausanne University Hospital (CHUV) in Switzerland. He is also holding a position of senior lecturer and Privat…

PhD candidate

Dr Gaëtan-Romain Joliat (Switzerland)

Dr Gaëtan-Romain Joliat graduated from the medical school of the University of Lausanne (UNIL) in Switzerland and is also certified by the Educational Commission for Foreign Medical Graduates (ECFMG)…