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vol.32 issue1STAGES AND FACTORS OF THE “PERIOPERATIVE PROCESS”: POINTS IN COMMON WITH THE AERONAUTICAL INDUSTRYTOTAL OMENTECTOMY IN GASTRIC CANCER SURGERY: IS IT ALWAYS NECESSARY? author indexsubject indexarticles search
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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Print version ISSN 0102-6720On-line version ISSN 2317-6326

Abstract

TEIXEIRA, Uirá Fernandes et al. ENHANCED RECOVERY (ERAS) AFTER LIVER SURGERY:COMPARATIVE STUDY IN A BRAZILIAN TERCIARY CENTER. ABCD, arq. bras. cir. dig. [online]. 2019, vol.32, n.1, e1424.  Epub Feb 07, 2019. ISSN 2317-6326.  https://doi.org/10.1590/0102-672020180001e1424.

Background:

After the publication of the first recommendations of ERAS Society regarding colonic surgery, the proposal of surgical stress reduction, maintenance of physiological functions and optimized recovery was expanded to other surgical specialties, with minimal variations.

Aim:

To analyze the implementation of ERAS protocols for liver surgery in a tertiary center.

Methods:

Fifty patients that underwent elective hepatic surgery were retrospectively evaluated, using medical records data, from June 2014 to August 2016. After September 2016, 35 patients were prospectively evaluated and managed in accordance with ERAS protocol.

Results:

There was no difference in age, type of hepatectomy, laparoscopic surgery and postoperative complications between the groups. In ERAS group, it was observed a reduction in preoperative fasting and in the length of hospital stay by two days (p< 0.001). Carbohydrate loading, j-shaped incision, early oral feeding, postoperative prevention of nausea and vomiting and early mobilization were also significantly related to ERAS group. Oral bowel preparation, pre-anesthetic medication, sub-costal incision, prophylactic nasogastric intubation and abdominal drainage were more common in control group.

Conclusion:

Implementation of ERAS protocol is feasible and beneficial for health institutions and patients, without increasing morbidity and mortality.

Keywords : Hepatectom; Length of Sta; Recovery of Functio; Postoperative Care.

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