Обзорная статья

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022

Gaëtan‐Romain JoliatDepartment of Visceral Surgery Lausanne University Hospital CHUV, University of Lausanne (UNIL) Rue du Bugnon 46 1011 Lausanne SwitzerlandKosuke KobayashiHepato‐Biliary‐Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine The University of Tokyo Hospital Tokyo JapanKiyoshi HasegawaHepato‐Biliary‐Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine The University of Tokyo Hospital Tokyo JapanJohn‐Edwin ThomsonDepartment of Surgery Flinders Medical Centre Adelaide AustraliaRobert PadburyDepartment of Surgery Flinders Medical Centre Adelaide AustraliaMichael J. ScottDepartment of Anesthesiology and Critical Care University of Pennsylvania Philadelphia USARaffaele BrustiaDepartment of Digestive and Hepato‐Pancreato‐Biliary Surgery Assistance Publique‐Hôpitaux de Paris (AP‐HP), Hôpitaux Universitaires Henri Mondor Créteil FranceOlivier ScattonDepartment of Hepatobiliary Surgery and Liver Transplantation Assistance Publique‐Hôpitaux de Paris (AP‐HP), Pitié‐Salpêtrière Hospital Paris FranceHop S. Tran CaoDepartment of Surgical Oncology The University of Texas MD Anderson Cancer Center Houston USAJean‐Nicolas VautheyDepartment of Surgical Oncology The University of Texas MD Anderson Cancer Center Houston USASelim DinçlerDepartment of Surgery, Swiss HPB Center University of Zurich Hospital Zurich SwitzerlandPierre‐Alain ClavienDepartment of Surgery, Swiss HPB Center University of Zurich Hospital Zurich SwitzerlandStephen J. WigmoreDepartment of Surgery University of Edinburgh Edinburgh UKNicolas DemartinesDepartment of Visceral Surgery Lausanne University Hospital CHUV, University of Lausanne (UNIL) Rue du Bugnon 46 1011 Lausanne SwitzerlandEmmanuel MelloulDepartment of Visceral Surgery Lausanne University Hospital CHUV, University of Lausanne (UNIL) Rue du Bugnon 46 1011 Lausanne Switzerland

2022en

ABI

Аннотация

BACKGROUND: Enhanced Recovery After Surgery (ERAS) has been widely applied in liver surgery since the publication of the first ERAS guidelines in 2016. The aim of the present article was to update the ERAS guidelines in liver surgery using a modified Delphi method based on a systematic review of the literature. METHODS: A systematic literature review was performed using MEDLINE/PubMed, Embase, and the Cochrane Library. A modified Delphi method including 15 international experts was used. Consensus was judged to be reached when >80% of the experts agreed on the recommended items. Recommendations were based on the Grading of Recommendations, Assessment, Development and Evaluations system. RESULTS: A total of 7541 manuscripts were screened, and 240 articles were finally included. Twenty-five recommendation items were elaborated. All of them obtained consensus (>80% agreement) after 3 Delphi rounds. Nine items (36%) had a high level of evidence and 16 (64%) a strong recommendation grade. Compared to the first ERAS guidelines published, 3 novel items were introduced: prehabilitation in high-risk patients, preoperative biliary drainage in cholestatic liver, and preoperative smoking and alcohol cessation at least 4 weeks before hepatectomy. CONCLUSIONS: These guidelines based on the best available evidence allow standardization of the perioperative management of patients undergoing liver surgery. Specific studies on hepatectomy in cirrhotic patients following an ERAS program are still needed.

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Идентификаторы

DOI: 10.1007/s00268-022-06732-5

Цитирования и источники

Цитирований: 5Использованных источников: 0

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