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

被引：125

作者：

Joliat, Gaetan-Romain ^{[1
]}

Kobayashi, Kosuke ^{[2
]}

Hasegawa, Kiyoshi ^{[2
]}

Thomson, John-Edwin ^{[3
]}

Padbury, Robert ^{[3
]}

Scott, Michael ^{[4
,5
]}

Brustia, Raffaele ^{[6
]}

Scatton, Olivier ^{[7
]}

Cao, Hop S. Tran ^{[8
]}

Vauthey, Jean-Nicolas ^{[8
]}

Dincler, Selim ^{[9
]}

Clavien, Pierre-Alain ^{[9
]}

Wigmore, Stephen J. ^{[10
]}

Demartines, Nicolas ^{[1
]}

Melloul, Emmanuel ^{[1
]}

机构：

[1] Univ Lausanne UNIL, Lausanne Univ Hosp CHUV, Dept Visceral Surg, Rue Bugnon 46, CH-1011 Lausanne, Switzerland

[2] Univ Tokyo Hosp, Grad Sch Med, Dept Surg, Hepatobiliary Pancreat Surg Div, Tokyo, Japan

[3] Flinders Med Ctr, Dept Surg, Adelaide, SA, Australia

[4] Univ Penn, Dept Anesthesiol & Crit Care, Philadelphia, PA 19104 USA

[5] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA

[6] Hop Univ Henri Mondor, AP HP, Dept Digest & HepatoPancreato Biliary Surg, Creteil, France

[7] Hop La Pitie Salpetriere, AP HP, Dept Hepatobiliary Surg & Liver Transplantat, Paris, France

[8] Univ Texas MD Anderson Canc Ctr, Dept Surg Oncol, Houston, TX 77030 USA

[9] Univ Zurich Hosp, Swiss HPB Ctr, Dept Surg, Zurich, Switzerland

[10] Univ Edinburgh, Dept Surg, Edinburgh, Midlothian, Scotland

来源：

WORLD JOURNAL OF SURGERY | 2023年 / 47卷 / 01期

关键词：

RANDOMIZED CLINICAL-TRIAL; PREOPERATIVE BILIARY DRAINAGE; CENTRAL VENOUS-PRESSURE; CONTINUOUS WOUND INFILTRATION; PATIENT-CONTROLLED ANALGESIA; STROKE VOLUME VARIATION; ABDOMINIS PLANE BLOCKS; CHAIN AMINO-ACIDS; INTERMITTENT PNEUMATIC COMPRESSION; ORAL CARBOHYDRATE TREATMENT;

D O I：

10.1007/s00268-022-06732-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：11 / 34

页数：24

共 245 条

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