18 Oct, 2021

THERE ARE NO ADVANTAGES BETWEEN LAPAROSCOPIC AND OPEN LIVER RESECTIONS WITHIN AN ENHANCED RECOVERY PROGRAM (ERAS)

Gustavo Adrian NARI
Ernesto Castro GUTIERREZ
Jose Luis LAYUN
Laia FALGUERAS
Daniela MARIOT
Georgina FERRET
Celia CAULA
Javier GÓNGORA
DOI: 10.1590/0102-672020210002e1593
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Background:

The use of a successful Enhanced Recovery After Surgery (ERAS) in colorectal surgery favored its application in other organs, and hepatic resections were not excluded from this tendency. Some authors suggest that the laparoscopic approach is a central element to obtain better results.

Aim:

To compare the laparoscopic vs. open hepatic resections within an ERAS to evaluate if there are any differences between them.

Methods:

In a descriptive study 80 hepatic resections that were divided into two groups, regarding to whether they were submitted to laparoscopy or open surgery. Demographic data, those referring to the hepatectomy and the ERAS was analyzed.

Results:

Forty-seven resections were carried out in open surgery and the rest laparoscopically; in the first group there was only one conversion to open surgery. Of the total, 17 resections were major hepatectomies and in 18 simultaneous resections. There were no differences between procedures regarding hospital stay and number of complications. There was a greater adherence to the ERAS (p=0.046) and a faster ambulation (p=0.001) in the open surgery.

Conclusion:

The procedure, whether open or laparoscopically done in hepatic resections, does not seem to show differences in an ERAS evaluation.


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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD.

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