Results of the implementation of an enhanced recovery program (ERP) in open liver resections

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Gustavo Nari
José Layun
Daniela Mariot
Luca Viotto
María Eugenia De Elias
Flavia López
Pilar Lucero
Lorna Romero
Joan Figueras

Abstract

Background: Background: Fast-track programs in liver surgery offer advantages over traditional perioperative management, particularly in terms of reducing length of hospital stay and hospital costs.
Material and methods: We conducted an observational and descriptive analysis of patients undergoing open liver resections as part of an enhanced recovery program. Adherence to the program, full recovery of the patients, complications and length of hospital stay were assessed.
Results: A total of 32 liver resections were performed in 30 patients, 27 with cancer. The adherence to the program was 78.1% and full recovery on discharge was 75%. The incidence of complications was 12.5%; most of them were not severe but two patients required rehospitalization. Mean length of hospital stay was 3.4 days and 3.6 days when readmissions were considered.
Conclusion: The implementation of an ERP after liver resections is feasible and offers advantages in terms of reducing length of hospital stay and hospital costs. We do not think that ERP improves morbidity in these patients

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How to Cite
Nari, G., Layun, J., Mariot, D., Viotto, L., De Elias, M. E., López, F., Lucero, P., Romero, L., & Figueras, J. (2021). Results of the implementation of an enhanced recovery program (ERP) in open liver resections. Revista Argentina De Cirugía, 111(4), 227–235. Retrieved from https://revista.aac.org.ar/index.php/RevArgentCirug/article/view/98
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Original Article

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