Enhanced Recovery after Surgery (ERAS) in open liver resections for hepatic colorectal metastasis. Initial experience

Abstract

Background: different studies have shown an improved recovery from surgery in different organs with the use of ERAS program. There are few studies of its application in hepatectomy.
Objectives: to present the initial experience of an ERAS program implemented for liver resections because of metastasis from colorectal cancer.
Methods: 6 patients included in an ERAS program for hepatectomies against 38 who were managed conventionally are compared. Demographic data, hepatectomies, adherence to the program, morbidity and mortality and hospital stay were assessed. Data were evaluated with SPSS software. A p<0.05 was considered significant.
Results: no differences between both groups in terms of operating time, number of transfused patients, transfusion amount, time of surgery, morbidity or mortality. There was a significant differen- ce in favor of group ERAS in hospital stay (3.17 days - p = .016). Adherence to the program was 85%. The percentage of full recovery at discharge was 50%.
Conclusion: the implementation of an ERAS program in liver resections for colorectal metastases favors a reduction in hospital stay hence a reduction in costs.