THERE ARE NO ADVANTAGES BETWEEN LAPAROSCOPIC AND OPEN LIVER RESECTIONS WITHIN AN ENHANCED RECOVERY PROGRAM (ERAS).
Journal
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
ISSN: 2317-6326
Titre abrégé: Arq Bras Cir Dig
Pays: Brazil
ID NLM: 9100283
Informations de publication
Date de publication:
2021
2021
Historique:
received:
26
11
2020
accepted:
23
02
2021
entrez:
20
10
2021
pubmed:
21
10
2021
medline:
29
10
2021
Statut:
epublish
Résumé
The use of a successful Enhanced Recovery After Surgery (ERAS) in colorectal surgery favored its application in other organs, and hepatic resections were not excluded from this tendency. Some authors suggest that the laparoscopic approach is a central element to obtain better results. To compare the laparoscopic vs. open hepatic resections within an ERAS to evaluate if there are any differences between them. In a descriptive study 80 hepatic resections that were divided into two groups, regarding to whether they were submitted to laparoscopy or open surgery. Demographic data, those referring to the hepatectomy and the ERAS was analyzed. Forty-seven resections were carried out in open surgery and the rest laparoscopically; in the first group there was only one conversion to open surgery. Of the total, 17 resections were major hepatectomies and in 18 simultaneous resections. There were no differences between procedures regarding hospital stay and number of complications. There was a greater adherence to the ERAS (p=0.046) and a faster ambulation (p=0.001) in the open surgery. The procedure, whether open or laparoscopically done in hepatic resections, does not seem to show differences in an ERAS evaluation.
Sections du résumé
BACKGROUND
BACKGROUND
The use of a successful Enhanced Recovery After Surgery (ERAS) in colorectal surgery favored its application in other organs, and hepatic resections were not excluded from this tendency. Some authors suggest that the laparoscopic approach is a central element to obtain better results.
AIM
OBJECTIVE
To compare the laparoscopic vs. open hepatic resections within an ERAS to evaluate if there are any differences between them.
METHODS
METHODS
In a descriptive study 80 hepatic resections that were divided into two groups, regarding to whether they were submitted to laparoscopy or open surgery. Demographic data, those referring to the hepatectomy and the ERAS was analyzed.
RESULTS
RESULTS
Forty-seven resections were carried out in open surgery and the rest laparoscopically; in the first group there was only one conversion to open surgery. Of the total, 17 resections were major hepatectomies and in 18 simultaneous resections. There were no differences between procedures regarding hospital stay and number of complications. There was a greater adherence to the ERAS (p=0.046) and a faster ambulation (p=0.001) in the open surgery.
CONCLUSION
CONCLUSIONS
The procedure, whether open or laparoscopically done in hepatic resections, does not seem to show differences in an ERAS evaluation.
Identifiants
pubmed: 34669883
pii: S0102-67202021000200307
doi: 10.1590/0102-672020210002e1593
pmc: PMC8521870
pii:
doi:
Types de publication
Journal Article
Langues
eng
por
Sous-ensembles de citation
IM
Pagination
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