| Title |
Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations
|
|---|---|
| Published in |
World Journal of Surgery, August 2016
|
| DOI | 10.1007/s00268-016-3700-1 |
| Pubmed ID | |
| Authors |
Emmanuel Melloul, Martin Hübner, Michael Scott, Chris Snowden, James Prentis, Cornelis H. C. Dejong, O. James Garden, Olivier Farges, Norihiro Kokudo, Jean‐Nicolas Vauthey, Pierre‐Alain Clavien, Nicolas Demartines |
| Abstract |
Enhanced Recovery After Surgery (ERAS) is a multimodal pathway developed to overcome the deleterious effect of perioperative stress after major surgery. In colorectal surgery, ERAS pathways reduced perioperative morbidity, hospital stay and costs. Similar concept should be applied for liver surgery. This study presents the specific ERAS Society recommendations for liver surgery based on the best available evidence and on expert consensus. A systematic review was performed on ERAS for liver surgery by searching EMBASE and Medline. Five independent reviewers selected relevant articles. Quality of randomized trials was assessed according to the Jadad score and CONSORT statement. The level of evidence for each item was determined using the GRADE system. The Delphi method was used to validate the final recommendations. A total of 157 full texts were screened. Thirty-seven articles were included in the systematic review, and 16 of the 23 standard ERAS items were studied specifically for liver surgery. Consensus was reached among experts after 3 rounds. Prophylactic nasogastric intubation and prophylactic abdominal drainage should be omitted. The use of postoperative oral laxatives and minimally invasive surgery results in a quicker bowel recovery and shorter hospital stay. Goal-directed fluid therapy with maintenance of a low intraoperative central venous pressure induces faster recovery. Early oral intake and mobilization are recommended. There is no evidence to prefer epidural to other types of analgesia. The current ERAS recommendations were elaborated based on the best available evidence and endorsed by the Delphi method. Nevertheless, prospective studies need to confirm the clinical use of the suggested protocol. |
X Demographics
The data shown below were collected from the profiles of 12 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| South Africa | 1 | 8% |
| Switzerland | 1 | 8% |
| United States | 1 | 8% |
| Italy | 1 | 8% |
| Brazil | 1 | 8% |
| United Kingdom | 1 | 8% |
| Colombia | 1 | 8% |
| Unknown | 5 | 42% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 7 | 58% |
| Practitioners (doctors, other healthcare professionals) | 3 | 25% |
| Scientists | 2 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 459 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Colombia | 1 | <1% |
| Turkey | 1 | <1% |
| Brazil | 1 | <1% |
| South Africa | 1 | <1% |
| Belgium | 1 | <1% |
| Spain | 1 | <1% |
| Unknown | 453 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 52 | 11% |
| Other | 49 | 11% |
| Student > Postgraduate | 47 | 10% |
| Researcher | 45 | 10% |
| Student > Doctoral Student | 39 | 8% |
| Other | 103 | 22% |
| Unknown | 124 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 247 | 54% |
| Nursing and Health Professions | 33 | 7% |
| Pharmacology, Toxicology and Pharmaceutical Science | 5 | 1% |
| Engineering | 4 | <1% |
| Biochemistry, Genetics and Molecular Biology | 3 | <1% |
| Other | 24 | 5% |
| Unknown | 143 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 32. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 April 2023.
All research outputs
#1,267,676
of 25,837,817 outputs
Outputs from World Journal of Surgery
#101
of 4,697 outputs
Outputs of similar age
#22,963
of 357,898 outputs
Outputs of similar age from World Journal of Surgery
#6
of 67 outputs
Altmetric has tracked 25,837,817 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,697 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.6. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 67 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 91% of its contemporaries.