The impact of enhanced recovery on open and laparoscopic liver resections
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ORIGINAL ARTICLE
The impact of enhanced recovery on open and laparoscopic liver resections Francesco Giovinazzo1 · Christoph Kuemmerli1,2 · Alma Moekotte1 · Arab Rawashdeh1 · Amal Suhool1 · Thomas Armstrong1 · John Primrose1 · Mohammed Abu Hilal1,2 Received: 8 January 2020 / Accepted: 2 May 2020 © Italian Society of Surgery (SIC) 2020
Abstract Enhanced recovery after surgery programs (ERP) have been implemented in many surgical specialties. Their impact in liver surgery is poorly understood and approach-specific ERPs have not yet been assessed. This retrospective study aims to analyse the effect of such programs on liver resection. All patients undergoing liver resection at a tertiary referral centre between January 2009 and April 2019 were identified. Primary outcome was the length of stay (LOS), secondary outcomes were functional recovery, complications and readmission rates. Patients in the ERP with different protocols for open, laparoscopic, major and minor resections were compared to a historical cohort. Of 1056 patients, 644 were treated within the ERP. A comparable duration of hospital stay [7 days (IQR (interquartile range) 6–12) vs 7 days (IQR 5–9) p = 0.047] and faster functional recovery with fewer complications was found in the ERP group [94 (50.5%) vs 103 (35.9%) p
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