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• W1828744020 abstract "Abstract Background Enhanced recovery after surgery (ERAS) has demonstrated in colorectal surgery a reduction in morbidity and length of stay without compromising security. Experience with ERAS programmes in pancreatoduodenectomy (PD) is still limited. The aims of this study were first to evaluate the applicability of an ERAS programme for PD patients in our hospital, and second to analyse the postoperative results. Methods A retrospective study using a prospectively maintained database identified 41 consecutive PD included in an ERAS programme. Key elements studied were early removal of tubes and drainages, early oral feeding and early mobilisation. Variables studied were mortality, morbidity, perioperative data, length of stay, re-interventions and inpatient readmission. This group of patients was compared with an historic control group of 44 PD patients with a standard postoperative management. Results A total of 85 pancreatoduodenectomies were analysed (41 patients in the ERAS group, and 44 patients in the control group. General mortality was 2.4% (2 patients) belonging to the control group. There were no statistical differences in mortality, length of stay in intensive care, reoperations, and readmissions. ERAS group had a lower morbidity rate than the control group (32% vs. 48%; P =.072), as well as a lower length of stay (14.2 vs. 18.7 days). All the key ERAS proposed elements were achieved. Conclusions ERAS programmes may be implemented safely in pancreaticoduodenectomy. They may reduce the length of stay, unifying perioperative care and diminishing clinical variability and hospital costs." @default.
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• W1828744020 date "2015-10-01" @default.
• W1828744020 modified "2023-10-18" @default.
• W1828744020 title "Outcomes of an Enhanced Recovery After Surgery Programme for Pancreaticoduodenectomy" @default.
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• W1828744020 doi "https://doi.org/10.1016/j.cireng.2015.04.007" @default.
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