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Enhanced Recovery Pathways in Hepato-pancreato-biliary Surgery

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The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery

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Abstract

In the last two decades enhanced recovery pathways (ERP) have been successfully implemented in various fields of surgery, notably in colorectal surgery where numerous meta-analyses have shown lower complication rates associated with reduced postoperative stay and diminished hospital costs. Following these encouraging results, ERP have been progressively implemented to hepato-pancreato-biliary (HPB) surgery, which is traditionally considered as high-risk surgery.

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References

  1. Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. World J Surg. 2014;38(6):1531–41.

    Article  PubMed  Google Scholar 

  2. Lee L, Li C, Landry T, Latimer E, Carli F, Fried GM, et al. A systematic review of economic evaluations of enhanced recovery pathways for colorectal surgery. Ann Surg. 2014;259(4):670–6.

    Article  PubMed  Google Scholar 

  3. Coolsen MM, van Dam RM, van der Wilt AA, Slim K, Lassen K, Dejong CH. Systematic review and meta-analysis of enhanced recovery after pancreatic surgery with particular emphasis on pancreaticoduodenectomies. World J Surg. 2013;37(8):1909–18.

    Article  CAS  PubMed  Google Scholar 

  4. Lassen K, Coolsen MM, Slim K, Carli F, de Aguilar-Nascimento JE, Schafer M, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. World J Surg. 2013;37(2):240–58.

    Article  PubMed  Google Scholar 

  5. Coolsen MM, Wong-Lun-Hing EM, van Dam RM, van der Wilt AA, Slim K, Lassen K, et al. A systematic review of outcomes in patients undergoing liver surgery in an enhanced recovery after surgery pathways. HPB. 2013;15(4):245–51.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Jones C, Kelliher L, Dickinson M, Riga A, Worthington T, Scott MJ, et al. Randomized clinical trial on enhanced recovery versus standard care following open liver resection. Br J Surg. 2013;100(8):1015–24.

    Article  CAS  PubMed  Google Scholar 

  7. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22(3):321–36.

    Article  PubMed  Google Scholar 

  8. Cerantola Y, Hubner M, Grass F, Demartines N, Schafer M. Immunonutrition in gastrointestinal surgery. Br J Surg. 2011;98(1):37–48.

    Article  CAS  PubMed  Google Scholar 

  9. Gurusamy KS, Samraj K, Davidson BR. Routine abdominal drainage for uncomplicated liver resection. Cochrane Database Syst Rev. 2007;3, CD006232.

    PubMed  Google Scholar 

  10. Petrowsky H, Demartines N, Rousson V, Clavien PA. Evidence-based value of prophylactic drainage in gastrointestinal surgery: a systematic review and meta-analyses. Ann Surg. 2004;240(6):1074–84. discussion 84–5.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Liu CL, Fan ST, Lo CM, Wong Y, Ng IO, Lam CM, et al. Abdominal drainage after hepatic resection is contraindicated in patients with chronic liver diseases. Ann Surg. 2004;239(2):194–201.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Fuster J, Llovet JM, Garcia-Valdecasas JC, Grande L, Fondevila C, Vilana R, et al. Abdominal drainage after liver resection for hepatocellular carcinoma in cirrhotic patients: a randomized controlled study. Hepatogastroenterology. 2004;51(56):536–40.

    PubMed  Google Scholar 

  13. Conlon KC, Labow D, Leung D, Smith A, Jarnagin W, Coit DG, et al. Prospective randomized clinical trial of the value of intraperitoneal drainage after pancreatic resection. Ann Surg. 2001;234(4):487–93. discussion 93–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  14. Diener MK, Tadjalli-Mehr K, Wente MN, Kieser M, Buchler MW, Seiler CM. Risk-benefit assessment of closed intra-abdominal drains after pancreatic surgery: a systematic review and meta-analysis assessing the current state of evidence. Langenbecks Arch Surg. 2011;396(1):41–52.

    Article  PubMed  Google Scholar 

  15. Van Buren II G, Bloomston M, Hughes SJ, Winter J, Behrman SW, Zyromski NJ, et al. A randomized prospective multicenter trial of pancreaticoduodenectomy with and without routine intraperitoneal drainage. Ann Surg. 2014;259(4):605–12.

    Article  PubMed  Google Scholar 

  16. Koti RS, Gurusamy KS, Fusai G, Davidson BR. Meta-analysis of randomized controlled trials on the effectiveness of somatostatin analogues for pancreatic surgery: a Cochrane review. HPB. 2010;12(3):155–65.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Allen PJ, Gonen M, Brennan MF, Bucknor AA, Robinson LM, Pappas MM, et al. Pasireotide for postoperative pancreatic fistula. N Engl J Med. 2014;370(21):2014–22.

    Article  PubMed  Google Scholar 

  18. Nelson R, Edwards S, Tse B. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst Rev. 2007;3, CD004929.

    PubMed  Google Scholar 

  19. Lassen K, Kjaeve J, Fetveit T, Trano G, Sigurdsson HK, Horn A, et al. Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity: a randomized multicenter trial. Ann Surg. 2008;247(5):721–9.

    Article  PubMed  Google Scholar 

  20. Beane JD, House MG, Miller A, Nakeeb A, Schmidt CM, Zyromski NJ, et al. Optimal management of delayed gastric emptying after pancreatectomy: an analysis of 1,089 patients. Surgery. 2014;156(4):939–46.

    Article  PubMed  Google Scholar 

  21. Roulin D, Blanc C, Muradbegovic M, Hahnloser D, Demartines N, Hubner M. Enhanced recovery pathway for urgent colectomy. World J Surg. 2014;38(8):2153–9.

    Article  PubMed  Google Scholar 

  22. Roulin D, Donadini A, Gander S, Griesser AC, Blanc C, Hubner M, et al. Cost-effectiveness of the implementation of an enhanced recovery protocol for colorectal surgery. Br J Surg. 2013;100(8):1108–14.

    Article  CAS  PubMed  Google Scholar 

  23. Lee A, Chiu CH, Cho MW, Gomersall CD, Lee KF, Cheung YS, et al. Factors associated with failure of enhanced recovery protocol in patients undergoing major hepatobiliary and pancreatic surgery: a retrospective cohort study. BMJ Open. 2014;4(7):e005330.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Petermann D, Demartines N, Schafer M. Severe postoperative complications adversely affect long-term survival after R1 resection for pancreatic head adenocarcinoma. World J Surg. 2013;37(8):1901–8.

    Article  PubMed  Google Scholar 

  25. Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ, et al. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242(3):326–41. discussion 41–3.

    PubMed Central  PubMed  Google Scholar 

Key References

  • Lassen K, Coolsen MM, Slim K, Carli F, de Aguilar-Nascimento JE, Schafer M, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. World J Surg. 2013;37(2):240–58.

    Article  PubMed  Google Scholar 

  • Coolsen MM, van Dam RM, van der Wilt AA, Slim K, Lassen K, Dejong CH. Systematic review and meta-analysis of enhanced recovery after pancreatic surgery with particular emphasis on pancreaticoduodenectomies. World J Surg. 2013;37(8):1909–18.

    Article  CAS  PubMed  Google Scholar 

  • Coolsen MM, Wong-Lun-Hing EM, van Dam RM, van der Wilt AA, Slim K, Lassen K, et al. A systematic review of outcomes in patients undergoing liver surgery in an enhanced recovery after surgery pathways. HPB. 2013;15(4):245–51.

    Article  PubMed Central  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Visceral Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland

    Didier Roulin M.D. & Nicolas Demartines M.D., F.A.C.S., F.R.C.S.

Authors
  1. Didier Roulin M.D.
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  2. Nicolas Demartines M.D., F.A.C.S., F.R.C.S.
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Editor information

Editors and Affiliations

  1. Division of General Surgery Steinberg-Bernstein Chair in Minimally Invasive Surgery and Innovation, McGill University, Health Centre, Montreal, Québec, Canada

    Liane S. Feldman

  2. Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Conor P. Delaney

  3. Faculty of Medicine and Health School of Health and Medical Sciences, Department of Surgery Örebro University Örebro; Affiliated Professor of Surgery Metabolism and Nutrition, Karolinska Institute, Stockholm, Sweden

    Olle Ljungqvist

  4. Department of Anesthesia, Montreal General Hospital, McGill University, Montreal, Québec, Canada

    Francesco Carli

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© 2015 Springer International Publishing Switzerland

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Roulin, D., Demartines, N. (2015). Enhanced Recovery Pathways in Hepato-pancreato-biliary Surgery. In: Feldman, L., Delaney, C., Ljungqvist, O., Carli, F. (eds) The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20364-5_25

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  • DOI: https://doi.org/10.1007/978-3-319-20364-5_25

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20363-8

  • Online ISBN: 978-3-319-20364-5

  • eBook Packages: MedicineMedicine (R0)

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