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A pilot study of Enhance Recovery after Surgery (ERAS) for liver resection

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dc.contributor.affiliationsFaculty of Medicine and Health Sciences
dc.contributor.affiliationsUniversiti Kebangsaan Malaysia (UKM)
dc.contributor.affiliationsUniversiti Sains Malaysia (USM)
dc.contributor.affiliationsInternational Islamic University Malaysia (IIUM)
dc.contributor.affiliationsUniversiti Sains Islam Malaysia (USIM)
dc.contributor.authorJarmin R.en_US
dc.contributor.authorMohamad I.S.en_US
dc.contributor.authorAhmad A.W.en_US
dc.contributor.authorOthman H.en_US
dc.contributor.authorZuhdi Z.en_US
dc.contributor.authorAriffin, ACen_US
dc.date.accessioned2024-05-29T01:55:22Z
dc.date.available2024-05-29T01:55:22Z
dc.date.issued2017
dc.description.abstractBackground: Morbidity post hepatectomy still remain persistent throughout decades compared to other surgery. Modern approach have been introduced to improve safety and reduce morbidity whilst at the same time enhance patient recovery. Thus, enhanced recovery after surgery or fast track recovery program for liver resection was initiated. Objective: The aim of this study was to achieve discharge by postoperative day 3 for minor resection and day 5 for major resection. Design and Setting: This is a prospective study conducted in Hospital Universiti Kebangsaan Malaysia (HUKM) from September 2014 till April 2015. Material and Methods: All patients undergoing open liver resection were included in the study. They were then managed post operatively according to ERAS protocol that was drawn up based on previous studies. Patient's demographics data, intra operative parameters, postoperative complications and adherence to postoperative recovery protocol were recorded. Results: Seventeen patients (7 major and 10 minor resection) were recruited. The mean length of hospital stay for minor resection was 5.9 and major resection was 9.6 .With regards to the targets, 4 out of 10 (40%)patients in minor resection group and 4 out 7 (57.1%) in the major group were discharged on time. 9 patients had postoperative complications with no mortality recorded. In terms of the ERAS protocol targets, the PCA morphine discontinuation target was achieved in 15 patients (88.3%), nasogastric tube removal (13 patients -76.5%), urinary cathether removal (6 patients - 35.3%), abdominal drains removal (9 patients-52.9%) and resumption of full diet was achieved by 82.4% (14 patients). Conclusion: From these overall achievement, most of our targets have been met and this shows that our ERAS protocol is safe to be applied to patient undergoing hepatectomy. Limitations: Some patients had achieved their target but not discharged for unknown reason.
dc.description.natureFinalen_US
dc.identifier.epage45
dc.identifier.issn18234631
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85036541234
dc.identifier.spage41
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85036541234&partnerID=40&md5=4d62abadba1b4c684033f39d2e1719c6
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/9686
dc.identifier.volume16
dc.languageEnglish
dc.language.isoen_USen_US
dc.publisherInternational Islamic University Malaysiaen_US
dc.relation.ispartofInternational Medical Journal Malaysia
dc.sourceScopus
dc.subjectEnhanced recovery after surgeryen_US
dc.subjectFast track recoveryen_US
dc.subjectHepatectomyen_US
dc.subjectLiver resectionen_US
dc.titleA pilot study of Enhance Recovery after Surgery (ERAS) for liver resectionen_US
dc.typeArticleen_US
dspace.entity.typePublication

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