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Impact of enhanced recovery protocols after pancreatoduodenectomy: meta-analysis.
Kuemmerli, Christoph; Tschuor, Christoph; Kasai, Meidai; Alseidi, Adnan A; Balzano, Gianpaolo; Bouwense, Stefan; Braga, Marco; Coolsen, Mariëlle; Daniel, Sara K; Dervenis, Christos; Falconi, Massimo; Hwang, Dae Wook; Kagedan, Daniel J; Kim, Song Cheol; Lavu, Harish; Liang, Tingbo; Nussbaum, Daniel; Partelli, Stefano; Passeri, Michael J; Pecorelli, Nicolò; Pillai, Sastha Ahanatha; Pillarisetty, Venu G; Pucci, Michael J; Su, Wei; Sutcliffe, Robert P; Tingstedt, Bobby; van der Kolk, Marion; Vrochides, Dionisios; Wei, Alice; Williamsson, Caroline; Yeo, Charles J; Zani, Sabino; Zouros, Efstratios; Abu Hilal, Mohammed.
Afiliación
  • Kuemmerli C; Department of Surgery, Foundation Poliambulanza, Brescia, Italy.
  • Tschuor C; Department of Surgery, Hepatobiliary and Pancreatic Surgical Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Kasai M; Department of Surgery, Clarunis-University Centre for Gastrointestinal and Liver Diseases Basle, Basle, Switzerland.
  • Alseidi AA; Department of Surgery, Foundation Poliambulanza, Brescia, Italy.
  • Balzano G; Division of Hepatopancreatobiliary Surgery, Department of Surgery, Carolinas Medical Centre, Charlotte, North Carolina, USA.
  • Bouwense S; Department of Surgical Gastroenterology and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
  • Braga M; Department of Surgery, Meiwa Hospital, Hyogo, Japan.
  • Coolsen M; Department of Surgery, University of California San Francisco, San Francisco, California, USA.
  • Daniel SK; Division of Pancreatic Surgery, Pancreas Translational and Clinical Research Centre, San Raffaele Scientific Institute, Milan, Italy.
  • Dervenis C; Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
  • Falconi M; Department of Surgery, Monza Hospital, University of Milano Bicocca, Monza, Italy.
  • Hwang DW; Department of Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.
  • Kagedan DJ; Hepatopancreatobiliary Surgery, University of Washington, Seattle, Washington, USA.
  • Kim SC; Department of Surgery, Konstantopouleio General Hospital, Nea Ionia, Athens, Greece.
  • Lavu H; Division of Pancreatic Surgery, Pancreas Translational and Clinical Research Centre, San Raffaele Scientific Institute, Milan, Italy.
  • Liang T; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asan Medical Centre, University of Ulsan College of Medicine, Seoul, Korea.
  • Nussbaum D; Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
  • Partelli S; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Asan Medical Centre, University of Ulsan College of Medicine, Seoul, Korea.
  • Passeri MJ; Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Pecorelli N; Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang Provincial Key Laboratory of Pancreatic Disease, Hangzhou, Zhejiang, China.
  • Pillai SA; Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
  • Pillarisetty VG; Division of Pancreatic Surgery, Pancreas Translational and Clinical Research Centre, San Raffaele Scientific Institute, Milan, Italy.
  • Pucci MJ; Division of Hepatopancreatobiliary Surgery, Department of Surgery, Carolinas Medical Centre, Charlotte, North Carolina, USA.
  • Su W; Division of Pancreatic Surgery, Pancreas Translational and Clinical Research Centre, San Raffaele Scientific Institute, Milan, Italy.
  • Sutcliffe RP; Department of Surgery, Institute of Surgical Gastroenterology and Liver Transplantation, Government Stanley Medical College, Chennai, India.
  • Tingstedt B; Hepatopancreatobiliary Surgery, University of Washington, Seattle, Washington, USA.
  • van der Kolk M; Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Vrochides D; Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang Provincial Key Laboratory of Pancreatic Disease, Hangzhou, Zhejiang, China.
  • Wei A; Department of Hepatobiliary and Pancreatic Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
  • Williamsson C; Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden.
  • Yeo CJ; Department of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.
  • Zani S; Division of Hepatopancreatobiliary Surgery, Department of Surgery, Carolinas Medical Centre, Charlotte, North Carolina, USA.
  • Zouros E; Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
  • Abu Hilal M; Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden.
Br J Surg ; 109(3): 256-266, 2022 02 24.
Article en En | MEDLINE | ID: mdl-35037019
Enhanced recovery protocols consist of interdisciplinary interventions aimed at standardizing care and reducing the impact of surgical stress. They often include a short period of preoperative fasting during the night before surgery, early removal of lines and surgical drains, early food intake and mobilization out of bed on the day of surgery. This study gives a summary of reports assessing such care protocols in patients undergoing pancreatic head surgery, and assesses the impact of these protocols on functional recovery in an analysis of individual-patient data. The study revealed the true benefits of enhanced recovery protocols, including shorter time to food intake, earlier bowel activity, fewer complications after surgery, and a shorter hospital stay compared with conventional care.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Pancreaticoduodenectomía / Recuperación Mejorada Después de la Cirugía Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Br J Surg Año: 2022 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Pancreaticoduodenectomía / Recuperación Mejorada Después de la Cirugía Tipo de estudio: Systematic_reviews Límite: Humans Idioma: En Revista: Br J Surg Año: 2022 Tipo del documento: Article País de afiliación: Italia