Abstract
Enhanced Recovery After Surgery (ERAS) is a multimodal multidisciplinary bundle aiming to provide the best evidence-based care to the patient in order to improve recovery by reducing the surgical stress. The principles of ERAS have been successfully applied in many surgical disciplines, including hepatobiliary and pancreatic surgery. The present chapter will review the current evidence in favor of ERAS for liver and pancreas surgery with focus on the multidisciplinary interaction between healthcare professionals involved in the patient’s perioperative care.
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References
Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery a review. JAMA Surg. 2017;152(3):292–8. https://doi.org/10.1001/jamasurg.2016.4952.
Ljungqvist O, Young-Fadok T, Demartines N. The history of enhanced recovery after surgery and the ERAS society. J Laparoendosc Adv Surg Tech. 2017;27(9):860–2. https://doi.org/10.1089/lap.2017.0350.
Melloul E, Hübner M, Scott M, et al. Guidelines for perioperative care for liver surgery: enhanced recovery after surgery (ERAS) society recommendations. World J Surg. 2016;40:2425–40. https://doi.org/10.1007/s00268-016-3700-1.
Melloul E, Lassen K, Roulin D, et al. Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019. World J Surg. 2020;44(7):2056–84. https://doi.org/10.1007/s00268-020-05462-w.
Maessen J, Dejong CHC, Hausel J, et al. A protocol is not enough to implement an enhanced recovery programme for colorectal resection. Br J Surg. 2007;94(2):224–31. https://doi.org/10.1002/bjs.5468.
Currie A, Soop M, Demartines N, Fearon K, Kennedy R, Ljungqvist O. Enhanced recovery after surgery interactive audit system: 10 years’ experience with an international web-based clinical and research perioperative care database. Clin Colon Rectal Surg. 2019;32(1):75–81. https://doi.org/10.1055/s-0038-1673357.
Martin D, Roulin D, Addor V, Blanc C, Demartines N, Hübner M. Enhanced recovery implementation in colorectal surgery-temporary or persistent improvement? Langenbecks Arch Surg. 2016;401(8):1163–9. https://doi.org/10.1007/s00423-016-1518-9.
Song W, Wang K, Zhang RJ, Dai QX, Zou SB. The enhanced recovery after surgery (ERAS) program in liver surgery: a meta-analysis of randomized controlled trials. Springerplus. 2016;5(1):1–10. https://doi.org/10.1186/s40064-016-1793-5.
Hughes MJ, McNally S, Wigmore SJ. Enhanced recovery following liver surgery: a systematic review and meta-analysis. HPB. 2014;16(8):699–706. https://doi.org/10.1111/hpb.12245.
Noba L, Rodgers S, Chandler C, Balfour A, Hariharan D, Yip VS. Enhanced recovery after surgery (ERAS) reduces hospital costs and improve clinical outcomes in liver surgery: a systematic review and meta-analysis. J Gastrointest Surg. 2020;24(4):918–32. https://doi.org/10.1007/s11605-019-04499-0.
Wang C, Zheng G, Zhang W, et al. Enhanced recovery after surgery programs for liver resection: a meta-analysis. J Gastrointest Surg. 2017;21(3):472–86. https://doi.org/10.1007/s11605-017-3360-y.
Zhao Y, Qin H, Wu Y, Xiang B. Enhanced recovery after surgery program reduces length of hospital stay and complications in liver resection: a PRISMA-compliant systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore). 2017;96(31):e7628.
Coolsen MME, Van Dam RM, Van Der Wilt AA, Slim K, Lassen K, Dejong CHC. Systematic review and meta-analysis of enhanced recovery after pancreatic surgery with particular emphasis on pancreaticoduodenectomies. World J Surg. 2013;37(8):1909–18. https://doi.org/10.1007/s00268-013-2044-3.
Xiong J, Szatmary P, Huang W, et al. Enhanced recovery after surgery program in patients undergoing pancreaticoduodenectomy a prisma-compliant systematic review and meta-analysis. Medicine (United States). 2016;95(18):e3497. https://doi.org/10.1097/MD.0000000000003497.
Ji HB, Zhu WT, Wei Q, Wang XX, Wang HB, Chen QP. Impact of enhanced recovery after surgery programs on pancreatic surgery: a meta-analysis. World J Gastroenterol. 2018;24(15):1666–78. https://doi.org/10.3748/wjg.v24.i15.1666.
Cao Y, Gu HY, Huang ZD, et al. Impact of enhanced recovery after surgery on postoperative recovery for Pancreaticoduodenectomy: pooled analysis of observational study. Front Oncol. 2019;9:687. https://doi.org/10.3389/fonc.2019.00687.
Sun Y-M, Wang Y, Mao Y-X, Wang W. The safety and feasibility of enhanced recovery after surgery in patients undergoing pancreaticoduodenectomy: an updated meta-analysis. Biomed Res Int. 2020;2020:1–15. https://doi.org/10.1155/2020/7401276.
Roulin D, Melloul E, Wellg BE, et al. Feasibility of an enhanced recovery protocol for elective pancreatoduodenectomy: a multicenter international cohort study. World J Surg. 2020;44(8):2761–9. https://doi.org/10.1007/s00268-020-05499-x.
St-Amour P, St-Amour P, Joliat GR, et al. Impact of ERAS compliance on the delay between surgery and adjuvant chemotherapy in hepatobiliary and pancreatic malignancies. Langenbecks Arch Surg. 2020;405(7):959–66. https://doi.org/10.1007/s00423-020-01981-1.
Roulin D, Donadini A, Gander S, et al. Cost-effectiveness of the implementation of an enhanced recovery protocol for colorectal surgery. Br J Surg. 2013;100(8):1108–14. https://doi.org/10.1002/bjs.9184.
Martin D, Roulin D, Grass F, et al. A multicentre qualitative study assessing implementation of an enhanced recovery after surgery program. Clin Nutr. 2018;37(6 Pt A):2172–7. https://doi.org/10.1016/j.clnu.2017.10.017.
Joliat G-R, Hübner M, Roulin D, Demartines N. Cost analysis of enhanced recovery programs in colorectal, pancreatic, and hepatic surgery: a systematic review. World J Surg. 2020;44(3):647–55. https://doi.org/10.1007/s00268-019-05252-z.
Joliat GR, Labgaa I, Hübner M, et al. Cost–benefit analysis of the implementation of an enhanced recovery program in liver surgery. World J Surg. 2016;40(10):2441–50. https://doi.org/10.1007/s00268-016-3582-2.
Pearsall EA, Meghji Z, Pitzul KB, et al. Qualitative study to understand the barriers and enablers in implementing an enhanced recovery after surgery program. Ann Surg. 2015;261(1):92–6. https://doi.org/10.1097/SLA.0000000000000604.
Cohen R, Gooberman-Hill R. Staff experiences of enhanced recovery after surgery: systematic review of qualitative studies. BMJ Open. 2019;9(2):e022259. https://doi.org/10.1136/bmjopen-2018-022259.
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Roulin, D., Demartines, N. (2022). Multidisciplinary Enhanced Recovery After Surgery (ERAS) Pathway for Hepatobiliary and Pancreatic Surgery. In: Makuuchi, M., et al. The IASGO Textbook of Multi-Disciplinary Management of Hepato-Pancreato-Biliary Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-19-0063-1_28
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DOI: https://doi.org/10.1007/978-981-19-0063-1_28
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