دورية أكاديمية
Impact of enhanced recovery program implementation on postoperative outcomes after liver surgery: a monocentric retrospective study.
| العنوان: | Impact of enhanced recovery program implementation on postoperative outcomes after liver surgery: a monocentric retrospective study. |
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| المؤلفون: | Thierry, Gabriel, Beck, Florian, Hardy, Pierre-Yves, Kaba, Abdourahamane, BLANJEAN, Arielle, Vandermeulen, Morgan, Honoré, Pierre, Joris, Jean, Bonhomme, Vincent, Detry, Olivier |
| المصدر: | Surgical Endoscopy, 38 (6), 3253-3262 (2024-06-23) |
| بيانات النشر: | Springer Science and Business Media LLC, 2024. |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | Enhanced recovery program, Enhanced rehabilitation, Hepatectomy, Length of hospital stay, Liver surgery, Postoperative ileus, Postoperative outcomes, Surgery, chirurgie, foie, laparoscopie, Human health sciences, Anesthesia & intensive care, Sciences de la santé humaine, Chirurgie, Anesthésie & soins intensifs |
| الوصف: | [en] INTRODUCTION: It is still unclear whether enhanced recovery programs (ERPs) reduce postoperative morbidity after liver surgery. This study investigated the effect on liver surgery outcomes of labeling as a reference center for ERP.MATERIALS AND METHODS: Perioperative data from 75 consecutive patients who underwent hepatectomy in our institution after implementation and labeling of our ERP were retrospectively compared to 75 patients managed before ERP. Length of hospital stay, postoperative complications, and adherence to protocol were examined.RESULTS: Patient demographics, comorbidities, and intraoperative data were similar in the two groups. Our ERP resulted in shorter length of stay (3 days [1-6] vs. 4 days [2-7.5], p = 0.03) and fewer postoperative complications (24% vs. 45.3%, p = 0.0067). This reduction in postoperative morbidity can be attributed exclusively to a lower rate of minor complications (Clavien-dindo grade < IIIa), and in particular to a lower rate of postoperative ileus, after labeling. (5.3% vs. 25.3%, p = 0.0019). Other medical and surgical complications were not significantly reduced. Adherence to protocol improved after labeling (17 [16-18] vs. 14 [13-16] items, p < 0.001).CONCLUSIONS: The application of a labeled enhanced recovery program for liver surgery was associated with a significant shortening of hospital stay and a halving of postoperative morbidity, mainly ileus. |
| نوع الوثيقة: | journal article http://purl.org/coar/resource_type/c_6501 article peer reviewed |
| اللغة: | English |
| Relation: | https://link.springer.com/content/pdf/10.1007/s00464-024-10796-w.pdf; urn:issn:0930-2794; urn:issn:1432-2218 |
| DOI: | 10.1007/s00464-024-10796-w |
| URL الوصول: | https://orbi.uliege.be/handle/2268/317545 |
| حقوق: | embargoed access http://purl.org/coar/access_right/c_f1cf info:eu-repo/semantics/embargoedAccess |
| رقم الأكسشن: | edsorb.317545 |
| قاعدة البيانات: | ORBi |
| DOI: | 10.1007/s00464-024-10796-w |
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