Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
World Journal of Surgery
Erschienen in: World Journal of Surgery 10/2016

22.08.2016 | Scientific Review

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

verfasst von: 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

Erschienen in: World Journal of Surgery | Ausgabe 10/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Cerantola Y, Valerio M, Persson B et al (2013) Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS((R))) society recommendations. Clin Nutr 32:879–887PubMedCrossRef
2.
Varadhan KK, Neal KR, Dejong CH et al (2010) The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr 29:434–440PubMedCrossRef
3.
Ansari D, Gianotti L, Schroder J, Andersson R (2013) Fast-track surgery: procedure-specific aspects and future direction. Langenbecks Arch Surg 398:29–37PubMedCrossRef
4.
Muller S, Zalunardo MP, Hubner M et al (2009) A fast-track program reduces complications and length of hospital stay after open colonic surgery. Gastroenterology 136:842–847PubMedCrossRef
5.
6.
Roulin D, Donadini A, Gander S et al (2013) Cost-effectiveness of the implementation of an enhanced recovery protocol for colorectal surgery. Br J Surg 100:1108–1114PubMedCrossRef
7.
Dokmak S, Fteriche FS, Borscheid R et al (2013) 2012 Liver resections in the 21st century: we are far from zero mortality. HPB (Oxford) 15:908–915CrossRef
8.
Dondero F, Taille C, Mal H et al (2006) Respiratory complications: a major concern after right hepatectomy in living liver donors. Transplantation 81:181–186PubMedCrossRef
9.
Melloul E, Dondero F, Vilgrain V et al (2012) Pulmonary embolism after elective liver resection: a prospective analysis of risk factors. J Hepatol 57:1268–1275PubMedCrossRef
10.
Farges O, Goutte N, Bendersky N et al (2012) Incidence and risks of liver resection: an all-inclusive French nationwide study. Ann Surg 256:697–704 (discussion 704–695) PubMedCrossRef
11.
Verhoef C, Singla N, Moneta G et al (2015) Fibrocaps for surgical hemostasis: two randomized, controlled phase II trials. J Surg Res 194:679–687PubMedCrossRef
12.
Hughes MJ, McNally S, Wigmore SJ (2014) Enhanced recovery following liver surgery: a systematic review and meta-analysis. HPB (Oxford) 16:699–706CrossRef
13.
Jones C, Kelliher L, Dickinson M et al (2013) Randomized clinical trial on enhanced recovery versus standard care following open liver resection. Br J Surg 100:1015–1024PubMedCrossRef
14.
Hutton B, Salanti G, Caldwell DM et al (2015) The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Intern Med 162:777–784PubMedCrossRef
15.
Kehlet H (1997) Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78:606–617PubMedCrossRef
16.
Strasberg SM (2005) Nomenclature of hepatic anatomy and resections: a review of the Brisbane 2000 system. J Hepatobiliary Pancreat Surg 12:351–355PubMedCrossRef
17.
Jadad AR, Moore RA, Carroll D et al (1996) Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17:1–12PubMedCrossRef
18.
Schulz KF, Altman DG, Moher D, Group C (2010) CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med 152:726–732CrossRef
19.
Lassen K, Coolsen MM, Slim K et al (2012) Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Clin Nutr 31:817–830PubMedCrossRef
20.
21.
Hsu CC, Sandford BA (2007) The Delphi technique: making sense of consensus. Pract Assess Res Eval 12:1–7
22.
Pike I, Piedt S, Davison CM et al (2015) Youth injury prevention in Canada: use of the Delphi method to develop recommendations. BMC Public Health 15:1274PubMedPubMedCentralCrossRef
23.
Loblaw DA, Prestrud AA, Somerfield MR et al (2012) American Society of Clinical Oncology Clinical Practice Guidelines: formal systematic review-based consensus methodology. J Clin Oncol 30:3136–3140PubMedCrossRef
24.
25.
Weimann A, Braga M, Harsanyi L et al (2006) ESPEN Guidelines on enteral nutrition: surgery including organ transplantation. Clin Nutr 25:224–244PubMedCrossRef
26.
Guenter P, Robinson L, DiMaria-Ghalili RA et al (2012) Development of Sustain: ASPENs National Patient Registry for Nutrition Care. JPEN J Parenter Enteral Nutr 36:399–406PubMedCrossRef
27.
Weimann A, Breitenstein S, Breuer JP et al (2014) [Clinical nutrition in surgery. Guidelines of the German Society for Nutritional Medicine]. Chirurg 85:320–326PubMedCrossRef
28.
Schindler K, Pernicka E, Laviano A et al (2010) How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007–2008 cross-sectional nutritionDay survey. Clin Nutr 29:552–559PubMedCrossRef
29.
Braga M, Ljungqvist O, Soeters P et al (2009) ESPEN Guidelines on parenteral nutrition: surgery. Clin Nutr 28:378–386PubMedCrossRef
30.
Mikagi K, Kawahara R, Kinoshita H, Aoyagi S (2011) Effect of preoperative immunonutrition in patients undergoing hepatectomy; a randomized controlled trial. Kurume Med J 58:1–8PubMedCrossRef
31.
Ciacio O, Voron T, Pittau G et al (2014) Interest of preoperative immunonutrition in liver resection for cancer: study protocol of the PROPILS trial, a multicenter randomized controlled phase IV trial. BMC Cancer 14:980PubMedPubMedCentralCrossRef
32.
33.
Bilku DK, Dennison AR, Hall TC et al (2014) Role of preoperative carbohydrate loading: a systematic review. Ann R Coll Surg Engl 96:15–22PubMedCrossRef
34.
Gustafsson UO, Hausel J, Thorell A et al (2011) Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg 146:571–577PubMedCrossRef
35.
36.
Beyer TA, Werner S (2008) The cytoprotective Nrf2 transcription factor controls insulin receptor signaling in the regenerating liver. Cell Cycle 7:874–878PubMedCrossRef
37.
Holte K, Nielsen KG, Madsen JL, Kehlet H (2004) Physiologic effects of bowel preparation. Dis Colon Rectum 47:1397–1402PubMedCrossRef
38.
39.
Reddy SK, Turley RS, Barbas AS et al (2011) Post-operative pharmacologic thromboprophylaxis after major hepatectomy: does peripheral venous thromboembolism prevention outweigh bleeding risks? J Gastrointest Surg 15:1602–1610PubMedCrossRef
40.
Rasmussen MS, Jorgensen LN, Wille-Jorgensen P (2009) Prolonged thromboprophylaxis with low molecular weight heparin for abdominal or pelvic surgery. Cochrane Database Syst Rev (1):CD004318. doi:10.​1002/​14651858.​CD004318.​pub2
41.
Richardson AJ, Laurence JM, Lam VW (2014) Use of pre-operative steroids in liver resection: a systematic review and meta-analysis. HPB (Oxford) 16:12–19CrossRef
42.
Li N, Gu WL, Weng JF et al (2015) Short-term administration of steroids does not affect postoperative complications following liver resection: evidence from a meta-analysis of randomized controlled trials. Hepatol Res 45:201–209PubMedCrossRef
43.
44.
Hirokawa F, Hayashi M, Miyamoto Y et al (2013) Evaluation of postoperative antibiotic prophylaxis after liver resection: a randomized controlled trial. Am J Surg 206:8–15PubMedCrossRef
45.
Togo S, Tanaka K, Matsuo K et al (2007) Duration of antimicrobial prophylaxis in patients undergoing hepatectomy: a prospective randomized controlled trial using flomoxef. J Antimicrob Chemother 59:964–970PubMedCrossRef
46.
Takara D, Sugawara G, Ebata T et al (2011) Preoperative biliary MRSA infection in patients undergoing hepatobiliary resection with cholangiojejunostomy: incidence, antibiotic treatment, and surgical outcome. World J Surg 35:850–857. doi:10.​1007/​s00268-011-0990-1 PubMedCrossRef
47.
Bratzler DW, Houck PM, Surgical Infection Prevention Guidelines, Writers W et al (2004) Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project. Clin Infect Dis 38:1706–1715PubMedCrossRef
48.
Hsieh CS, Cheng HC, Lin JS et al (2014) Effect of 4 % chlorhexidine gluconate predisinfection skin scrub prior to hepatectomy: a double-blinded, randomized control study. Int Surg 99:787–794PubMedPubMedCentralCrossRef
49.
Darouiche RO, Wall MJ Jr, Itani KM et al (2010) Chlorhexidine–alcohol versus povidone–iodine for surgical-site antisepsis. N Engl J Med 362:18–26PubMedCrossRef
50.
D’Angelica M, Maddineni S, Fong Y et al (2006) Optimal abdominal incision for partial hepatectomy: increased late complications with Mercedes-type incisions compared to extended right subcostal incisions. World J Surg 30:410–418. doi:10.​1007/​s00268-005-0183-x PubMedCrossRef
51.
Togo S, Nagano Y, Masumoto C et al (2008) Outcome of and risk factors for incisional hernia after partial hepatectomy. J Gastrointest Surg 12:1115–1120PubMedCrossRef
52.
Chang SB, Palavecino M, Wray CJ et al (2010) Modified Makuuchi incision for foregut procedures. Arch Surg 145:281–284PubMedCrossRef
53.
Wakabayashi G, Cherqui D, Geller DA et al (2015) Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka. Ann Surg 261:619–629PubMed
54.
Stoot JH, van Dam RM, Busch OR et al (2009) The effect of a multimodal fast-track programme on outcomes in laparoscopic liver surgery: a multicentre pilot study. HPB (Oxford) 11:140–144CrossRef
55.
van Dam RM, Wong-Lun-Hing EM, van Breukelen GJ et al (2012) Open versus laparoscopic left lateral hepatic sectionectomy within an enhanced recovery ERAS(R) programme (ORANGE II-trial): study protocol for a randomised controlled trial. Trials 13:54PubMedPubMedCentralCrossRef
56.
Lin NC, Nitta H, Wakabayashi G (2013) Laparoscopic major hepatectomy: a systematic literature review and comparison of 3 techniques. Ann Surg 257:205–213PubMedCrossRef
57.
58.
Parks KR, Kuo YH, Davis JM et al (2014) Laparoscopic versus open liver resection: a meta-analysis of long-term outcome. HPB (Oxford) 16:109–118CrossRef
59.
Yin Z, Fan X, Ye H et al (2013) Short- and long-term outcomes after laparoscopic and open hepatectomy for hepatocellular carcinoma: a global systematic review and meta-analysis. Ann Surg Oncol 20:1203–1215PubMedCrossRef
60.
Xiong JJ, Altaf K, Javed MA et al (2012) Meta-analysis of laparoscopic vs open liver resection for hepatocellular carcinoma. World J Gastroenterol 18:6657–6668PubMedPubMedCentralCrossRef
61.
Nguyen KT, Marsh JW, Tsung A et al (2011) Comparative benefits of laparoscopic vs open hepatic resection: a critical appraisal. Arch Surg 146:348–356PubMedCrossRef
62.
Fancellu A, Rosman AS, Sanna V et al (2011) Meta-analysis of trials comparing minimally-invasive and open liver resections for hepatocellular carcinoma. J Surg Res 171:e33–e45PubMedCrossRef
63.
Mirnezami R, Mirnezami AH, Chandrakumaran K et al (2011) Short- and long-term outcomes after laparoscopic and open hepatic resection: systematic review and meta-analysis. HPB (Oxford) 13:295–308CrossRef
64.
Zhou YM, Shao WY, Zhao YF et al (2011) Meta-analysis of laparoscopic versus open resection for hepatocellular carcinoma. Dig Dis Sci 56:1937–1943PubMedCrossRef
65.
Mizuguchi T, Kawamoto M, Meguro M et al (2011) Laparoscopic hepatectomy: a systematic review, meta-analysis, and power analysis. Surg Today 41:39–47PubMedCrossRef
66.
Croome KP, Yamashita MH (2010) Laparoscopic vs open hepatic resection for benign and malignant tumors: an updated meta-analysis. Arch Surg 145:1109–1118PubMedCrossRef
67.
Simillis C, Constantinides VA, Tekkis PP et al (2007) Laparoscopic versus open hepatic resections for benign and malignant neoplasms—a meta-analysis. Surgery 141:203–211PubMedCrossRef
68.
Bhojani FD, Fox A, Pitzul K et al (2012) Clinical and economic comparison of laparoscopic to open liver resections using a 2-to-1 matched pair analysis: an institutional experience. J Am Coll Surg 214:184–195PubMedCrossRef
69.
Montalti R, Berardi G, Laurent S et al (2014) Laparoscopic liver resection compared to open approach in patients with colorectal liver metastases improves further resectability: Oncological outcomes of a case–control matched-pairs analysis. Eur J Surg Oncol 40:536–544PubMedCrossRef
70.
Dokmak S, Raut V, Aussilhou B et al (2014) Laparoscopic left lateral resection is the gold standard for benign liver lesions: a case–control study. HPB (Oxford) 16:183–187CrossRef
71.
Scatton O, Katsanos G, Boillot O et al (2015) Pure laparoscopic left lateral sectionectomy in living donors: from innovation to development in France. Ann Surg 261:506–512PubMedCrossRef
72.
Troisi RI, Patriti A, Montalti R, Casciola L (2013) Robot assistance in liver surgery: a real advantage over a fully laparoscopic approach? Results of a comparative bi-institutional analysis. Int J Med Robot 9:160–166PubMedCrossRef
73.
Ho CM, Wakabayashi G, Nitta H et al (2013) Systematic review of robotic liver resection. Surg Endosc 27:732–739PubMedCrossRef
74.
Tsung A, Geller DA, Sukato DC et al (2014) Robotic versus laparoscopic hepatectomy: a matched comparison. Ann Surg 259:549–555PubMedCrossRef
75.
76.
Pessaux P, Regimbeau JM, Dondero F et al (2007) Randomized clinical trial evaluating the need for routine nasogastric decompression after elective hepatic resection. Br J Surg 94:297–303PubMedCrossRef
77.
Petrowsky H, Demartines N, Rousson V, Clavien PA (2004) Evidence-based value of prophylactic drainage in gastrointestinal surgery: a systematic review and meta-analyses. Ann Surg 240:1074–1084 (discussion 1084–1075) PubMedPubMedCentralCrossRef
78.
79.
Fong Y, Brennan MF, Brown K et al (1996) Drainage is unnecessary after elective liver resection. Am J Surg 171:158–162PubMedCrossRef
80.
Kyoden Y, Imamura H, Sano K et al (2010) Value of prophylactic abdominal drainage in 1269 consecutive cases of elective liver resection. J Hepatobiliary Pancreat Sci 17:186–192PubMedCrossRef
81.
Frank SM, Fleisher LA, Breslow MJ et al (1997) Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial. JAMA 277:1127–1134PubMedCrossRef
82.
Rajagopalan S, Mascha E, Na J, Sessler DI (2008) The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology 108:71–77PubMedCrossRef
83.
Scott EM, Buckland R (2006) A systematic review of intraoperative warming to prevent postoperative complications. AORN J 83(1090–1104):1107–1113
84.
Lehtinen SJ, Onicescu G, Kuhn KM et al (2010) Normothermia to prevent surgical site infections after gastrointestinal surgery: holy grail or false idol? Ann Surg 252:696–704PubMedPubMedCentral
85.
Melton GB, Vogel JD, Swenson BR et al (2013) Continuous intraoperative temperature measurement and surgical site infection risk: analysis of anesthesia information system data in 1008 colorectal procedures. Ann Surg 258:606–612 (discussion 612–603) PubMed
86.
Wong PF, Kumar S, Bohra A et al (2007) Randomized clinical trial of perioperative systemic warming in major elective abdominal surgery. Br J Surg 94:421–426PubMedCrossRef
87.
Galvao CM, Liang Y, Clark AM (2010) Effectiveness of cutaneous warming systems on temperature control: meta-analysis. J Adv Nurs 66:1196–1206PubMedCrossRef
88.
Lassen K, Kjaeve J, Fetveit T et al (2008) Allowing normal food at will after major upper gastrointestinal surgery does not increase morbidity: a randomized multicenter trial. Ann Surg 247:721–729PubMedCrossRef
89.
Hendry PO, van Dam RM, Bukkems SF et al (2010) Randomized clinical trial of laxatives and oral nutritional supplements within an enhanced recovery after surgery protocol following liver resection. Br J Surg 97:1198–1206PubMedCrossRef
90.
Richter B, Schmandra TC, Golling M, Bechstein WO (2006) Nutritional support after open liver resection: a systematic review. Dig Surg 23:139–145PubMedCrossRef
91.
Frisch A, Chandra P, Smiley D et al (2010) Prevalence and clinical outcome of hyperglycemia in the perioperative period in noncardiac surgery. Diabetes Care 33:1783–1788PubMedPubMedCentralCrossRef
92.
King JT Jr, Goulet JL, Perkal MF, Rosenthal RA (2011) Glycemic control and infections in patients with diabetes undergoing noncardiac surgery. Ann Surg 253:158–165PubMedCrossRef
93.
Lipshutz AK, Gropper MA (2009) Perioperative glycemic control: an evidence-based review. Anesthesiology 110:408–421PubMed
94.
Eshuis WJ, Hermanides J, van Dalen JW et al (2011) Early postoperative hyperglycemia is associated with postoperative complications after pancreatoduodenectomy. Ann Surg 253:739–744PubMedCrossRef
95.
Jackson RS, Amdur RL, White JC, Macsata RA (2012) Hyperglycemia is associated with increased risk of morbidity and mortality after colectomy for cancer. J Am Coll Surg 214:68–80PubMedCrossRef
96.
Blixt C, Ahlstedt C, Ljungqvist O et al (2012) The effect of perioperative glucose control on postoperative insulin resistance. Clin Nutr 31:676–681PubMedCrossRef
97.
Maeda H, Okabayashi T, Nishimori I et al (2010) Hyperglycemia during hepatic resection: continuous monitoring of blood glucose concentration. Am J Surg 199:8–13PubMedCrossRef
98.
Okabayashi T, Nishimori I, Maeda H et al (2009) Effect of intensive insulin therapy using a closed-loop glycemic control system in hepatic resection patients: a prospective randomized clinical trial. Diabetes Care 32:1425–1427PubMedPubMedCentralCrossRef
99.
Okabayashi T, Nishimori I, Yamashita K et al (2010) Preoperative oral supplementation with carbohydrate and branched-chain amino acid-enriched nutrient improves insulin resistance in patients undergoing a hepatectomy: a randomized clinical trial using an artificial pancreas. Amino Acids 38:901–907PubMedCrossRef
100.
Vibert E, Boleslawski E, Cosse C et al (2015) Arterial lactate concentration at the end of an elective hepatectomy is an early predictor of the postoperative course and a potential surrogate of intraoperative events. Ann Surg 262:787–793PubMedCrossRef
101.
Igami T, Nishio H, Ebata T et al (2011) Using the greater omental flap to cover the cut surface of the liver for prevention of delayed gastric emptying after left-sided hepatobiliary resection: a prospective randomized controlled trial. J Hepatobiliary Pancreat Sci 18:176–183PubMedCrossRef
102.
Yoshida H, Mamada Y, Taniai N et al (2005) Fixation of the greater omentum for prevention of delayed gastric emptying after left-sided hepatectomy: a randomized controlled trial. Hepatogastroenterology 52:1334–1337PubMed
103.
Ni CY, Yang Y, Chang YQ et al (2013) Fast-track surgery improves postoperative recovery in patients undergoing partial hepatectomy for primary liver cancer: a prospective randomized controlled trial. Eur J Surg Oncol 39:542–547PubMedCrossRef
104.
105.
Kehlet H, Wilmore DW (2002) Multimodal strategies to improve surgical outcome. Am J Surg 183:630–641PubMedCrossRef
106.
Convertino VA (1997) Cardiovascular consequences of bed rest: effect on maximal oxygen uptake. Med Sci Sports Exerc 29:191–196PubMedCrossRef
107.
108.
109.
Kambakamba P, Slankamenac K, Tschuor C et al (2015) Epidural analgesia and perioperative kidney function after major liver resection. Br J Surg 102:805–812PubMedCrossRef
110.
Roy JD, Massicotte L, Sassine MP et al (2006) A comparison of intrathecal morphine/fentanyl and patient-controlled analgesia with patient-controlled analgesia alone for analgesia after liver resection. Anesth Analg 103:990–994PubMedCrossRef
111.
Kasivisvanathan R, Abbassi-Ghadi N, Prout J et al (2014) A prospective cohort study of intrathecal versus epidural analgesia for patients undergoing hepatic resection. HPB (Oxford) 16:768–775CrossRef
112.
Revie EJ, McKeown DW, Wilson JA et al (2012) Randomized clinical trial of local infiltration plus patient-controlled opiate analgesia vs. epidural analgesia following liver resection surgery. HPB (Oxford) 14:611–618CrossRef
113.
Bell R, Pandanaboyana S, Prasad KR (2015) Epidural versus local anaesthetic infiltration via wound catheters in open liver resection: a meta-analysis. ANZ J Surg 85:16–21PubMedCrossRef
114.
Apfel CC, Heidrich FM, Jukar-Rao S et al (2012) Evidence-based analysis of risk factors for postoperative nausea and vomiting. Br J Anaesth 109:742–753PubMedCrossRef
115.
116.
Gan TJ, Diemunsch P, Habib AS (2014) Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg 118(1):85–113PubMedCrossRef
117.
Chen H, Merchant NB, Didolkar MS (2000) Hepatic resection using intermittent vascular inflow occlusion and low central venous pressure anesthesia improves morbidity and mortality. J Gastrointest Surg 4:162–167PubMedCrossRef
118.
Jones RM, Moulton CE, Hardy KJ (1998) Central venous pressure and its effect on blood loss during liver resection. Br J Surg 85:1058–1060PubMedCrossRef
119.
Li Z, Sun YM, Wu FX et al (2014) Controlled low central venous pressure reduces blood loss and transfusion requirements in hepatectomy. World J Gastroenterol 20:303–309PubMedPubMedCentralCrossRef
120.
Gurusamy KS, Li J, Sharma D, Davidson BR (2009) Cardiopulmonary interventions to decrease blood loss and blood transfusion requirements for liver resection. Cochrane Database Syst Rev (5):CD007338. doi:10.​1002/​14651858.​CD007338.​pub3
121.
Hughes MJ, Ventham NT, Harrison EM, Wigmore SJ (2015) Central venous pressure and liver resection: a systematic review and meta-analysis. HPB (Oxford) 17:863–871CrossRef
122.
Dunki-Jacobs EM, Philips P, Scoggins CR et al (2014) Stroke volume variation in hepatic resection: a replacement for standard central venous pressure monitoring. Ann Surg Oncol 21:473–478PubMedCrossRef
123.
McCluskey SA, Karkouti K, Wijeysundera D et al (2013) Hyperchloremia after noncardiac surgery is independently associated with increased morbidity and mortality: a propensity-matched cohort study. Anesth Analg 117:412–421PubMedCrossRef
124.
Shaw AD, Bagshaw SM, Goldstein SL et al (2012) Major complications, mortality, and resource utilization after open abdominal surgery: 0.9 % saline compared to Plasma-Lyte. Ann Surg 255:821–829PubMedCrossRef
125.
Perner A, Haase N, Guttormsen AB et al (2012) Hydroxyethyl starch 130/0.42 versus Ringer’s acetate in severe sepsis. N Engl J Med 367:124–134PubMedCrossRef
126.
Metadaten
Titel
Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations
verfasst von
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
Publikationsdatum
22.08.2016
Verlag
Springer International Publishing
Erschienen in
World Journal of Surgery / Ausgabe 10/2016
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-016-3700-1

Weitere Artikel der Ausgabe 10/2016

World Journal of Surgery 10/2016 Zur Ausgabe

Innovative Surgical Techniques Around the World

Laparoscopy-Assisted Proximal Gastrectomy with the Hinged Double Flap Method

Scientific Review

Trocar Injuries in Laparoscopy: Techniques, Tools, and Means for Prevention. A Systematic Review of the Literature

Original Scientific Report

Validation of a Nomogram to Predict the Risk of Perioperative Blood Transfusion for Liver Resection

Original Scientific Report

No Need of Immediate Treatment for Hypovascular Tumors Associated with Hepatocellular Carcinoma

Surgical History

Edward John Hinchey (1934 to Present): Father of Modern Age of Acute Complicated Diverticulitis of the Colon

Original Scientific Report

A Contemporary Evaluation of the Cause of Death and Long-Term Quality of Life After Total Pancreatectomy

Neu im Fachgebiet Chirurgie

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

23.04.2024 Ablationstherapie Nachrichten

Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.
Bildnachweise