HPB

Liver and Pancreas

LIVER

Since the publication of the ERAS guidelines for liver surgery in 2016, several studies have shown that ERAS in liver surgery improves postoperative complications, diminishes length of stay, and decreases costs (1-5). A total of 23 recommendations, including no prophylactic nasogastric tube use and abdominal drainage, goal-directed fluid therapy, early oral intake, and rapid postoperative mobilization, were recommended in these first guidelines. The updated ERAS guidelines for liver surgery should be published soon in 2022.

Liver References

PANCREAS

The ERAS expert consensus for pancreatoduodenectomy was initially published in 2012, and updated in 2019. These recommendations were based on the best available evidence from more than 300 studies, and processed by the modified Delphi method. For each of the 27 items, a detailed recommendation with a graded level of evidence was provided. Specific items related to pancreatic surgery, such as preoperative biliary drainage, antibioprophylaxis based on bile culture, perianastomotic drainage and perioperative nutrition, are discussed. These recommendations are essential to have a common reference in order to perform additional studies allowing further improvement of perioperative care for pancreatic surgery.

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 HPB surgery

Dr Didier Roulin (Switzerland – Pancreas)

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…

Surgeon and PhD candidate

Dr Gaëtan-Romain Joliat (Switzerland – Liver)

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)…