Publication: Early postoperative outcomes for pancreaticoduodenectomy before and after implementation of enhanced recovery after surgery (ERAS) protocol
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Date
2017
Journal Title
Journal ISSN
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Publisher
Surgical Society of Northern Greece
Abstract
Background: We implemented the Enhanced Recovery After Surgery (ERAS) for our post pancreaticoduodenectomy patients in our institution since 2013. This study aim to to determine the differences between the previous postoperative care and ERAS. Material and Method: We included all patients who underwent pancreaticoduodenectomy UKM Medical Centre (UKMMC) from Jan 2011 to April 2015. Subjects are divided into control group comprise pre-ERAS patient and study group comprise post ERAS implementation. Recorded data include demographics, patients� characteristic, surgery data, complication, outcomes and length of stay. Results: Total subjects were 81 patients. There were no significant differences in the demographics and patients� characteristic between both groups. Post-operative morbidity, re-laparotomy and readmission rate was equivalent. Mortality rate were more in pre-ERAS group but not significant. The length of stay was lower in the post ERAS group (11.7 days versus 15.4 days; p=0.002). Non-PD related complication is high within the pre-ERAS group (27.7% versus 5.9%; p=0,019). Conclusions: ERAS protocol have a lower complication rate and reduce hospital stay. It should be the standard management in post-operative pancreaticoduodenectomy care.
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Keywords
Metastases, Neoplasm, Outcome, Pancreaticoduodenectomy