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Journal of Gastrointestinal Surgery

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18.01.2017 | Original Article

Enhanced Recovery after Surgery Programs for Liver Resection: a Meta-analysis

verfasst von: Cheng Wang, Guoqun Zheng, Wenlong Zhang, Fabiao Zhang, Shangdong Lv, Aidong Wang, Zheping Fang

Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 3/2017

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Abstract

Background and Aims

Due to the limited number of high-quality randomized controlled trials on enhanced recovery after surgery for hepatectomy, previous reviews have not been sufficiently comprehensive. Our objectives were to evaluate and compare the safety and efficacy of enhanced recovery after surgery programs and traditional care in patients undergoing open or laparoscopic surgery and to assess the optimized items for hepatectomy.

Methods

We searched the PubMed, Embase, and the Cochrane Library databases for all the relevant studies regardless of study design. We assessed the methodological quality of the included studies and excluded studies of poor quality. We performed a meta-analysis using RevMan 5.3 software.

Results

In total, 19 original studies with 2575 patients, including four randomized controlled trials and 15 non-randomized controlled trials, were analyzed. The meta-analysis demonstrated that enhanced recovery after surgery programs could reduce morbidity, hospital stays and cost, blood loss, and time to bowel function recovery for both open and laparoscopic surgery without increasing mortality, readmission rate, or transfusion rate. Twelve items were essential for liver surgery.

Conclusions

Enhanced recovery after surgery programs for hepatectomy are feasible and efficient. Further studies should optimize perioperative outcomes for liver surgery.

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Titel: Enhanced Recovery after Surgery Programs for Liver Resection: a Meta-analysis
verfasst von: Cheng Wang
Guoqun Zheng
Wenlong Zhang
Fabiao Zhang
Shangdong Lv
Aidong Wang
Zheping Fang
Publikationsdatum: 18.01.2017
Verlag: Springer US
Erschienen in: Journal of Gastrointestinal Surgery / Ausgabe 3/2017
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-017-3360-y

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Abstract

Background and Aims

Methods

Results

Conclusions

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