1. Enhanced recovery pathway in patients undergoing distal pancreatectomy: a case-matched study
- Author
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Nicolò Pecorelli, Marco Braga, Renato Castoldi, Luigi Beretta, Marianna Maspero, Gianpaolo Balzano, Giovanni Capretti, Pecorelli, Nicolã², Capretti, Giovanni, Balzano, Gianpaolo, Castoldi, Renato, Maspero, Marianna, Beretta, Luigi, Braga, Marco, Pecorelli, N, Capretti, G, Balzano, G, Castoldi, R, Maspero, M, Beretta, L, and Braga, M
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Databases, Factual ,Time Factor ,medicine.medical_treatment ,030230 surgery ,Patient Readmission ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Pancreatectomy ,Enhanced recovery ,Internal medicine ,medicine ,Humans ,In patient ,Aged ,Hepatology ,business.industry ,Case-control study ,Gastroenterology ,Recovery of Function ,Length of Stay ,Middle Aged ,Surgery ,Treatment Outcome ,Critical Pathway ,Case-Control Studies ,030220 oncology & carcinogenesis ,Practice Guidelines as Topic ,Critical Pathways ,Observational study ,Female ,Guideline Adherence ,Postoperative Complication ,Gastrointestinal function ,business ,Distal pancreatectomy ,Case-Control Studie ,Human - Abstract
Background Enhanced recovery (ER) pathways have improved outcomes across multiple surgical specialties, but reports concerning their application in distal pancreatectomy (DP) are lacking. The aim of this study was to assess compliance with an ER protocol and its impact on short-term outcomes in patients undergoing DP. Methods Prospectively collected data were reviewed. One hundred consecutive patients undergoing DP were treated within an ER pathway comprising 18 care elements. Each patient was matched 1:1 with a patient treated with usual perioperative care. Match criteria were age, BMI, ASA score, lesion site, and type of disease. Results Adherence to ER items ranged from 15% for intraoperative restrictive fluids to 100% for intraoperative warming, antibiotic and anti-thrombotic prophylaxis. Patients in ER group experienced earlier recovery of gastrointestinal function (2 vs. 3 days, pÂ
- Published
- 2017