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Springerplus. 2016 Nov 25;5(1):2011. doi: 10.1186/s40064-016-3688-x. eCollection 2016.

Nonstrict and individual enhanced recovery after surgery (ERAS) in partial hepatectomy.

Author information

1
Jinling Hospital, Research Institute of General Surgery, Nanjing University, School of Medicine, Nanjing, 210002 Jiangsu Province People's Republic of China.
2
General Surgery, General Hospital of Tisco Affiliated to Shanxi Medical University, Taiyuan, 030008 Shanxi Province People's Republic of China.
#
Contributed equally

Abstract

BACKGROUND:

We aimed to evaluate postoperative recovery and short-term outcomes of patients undergoing partial hepatectomy managed with a nonstrict and individual enhanced recovery after surgery (ERAS) program.

METHODS:

A retrospective analysis of 168 partial hepatectomy patients in our institution was included. The discharged day and the respective impact of element application throughout the duration were analyzed.

RESULTS:

When all the required elements of ERAS were fully implemented, the median discharge day was 6. The more deviation occurred, the more delayed the patient discharged (P < 0.01). Preoperative ASA score, basic conditions of patients and ages were revealed closely associated with discharge day (P < 0.001). Without or an early removal of tubes and early oral feeding reduced hospital stay statistically (P < 0.01). Early discharge of patients (<3 days) did not show an increased complication incidence or readmission (P > 0.05).

CONCLUSION:

Nonstrict and individual use of ERAS in partial hepatectomy reduced postoperative length of stay without increasing complication rate. Our study proposes a modulation of ERAS according to the needs and acceptance of patients. In a word, better optionally required rather than mandatorily meet.

KEYWORDS:

Discharge; ERAS; Individual; Nonstrict

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