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논문 기본 정보

자료유형
학술저널
저자정보
Mohamad Younis Bhat (Sher-i-Kashmir Institute of Medical Sciences) Sadaf Ali (Sher-i-Kashmir Institute of Medical Sciences) Sonam Gupta (Sher-i-Kashmir Institute of Medical Sciences) Younis Ahmad (Sher-i-Kashmir Institute of Medical Sciences) Mohd Riyaz Lattoo (Sher-i-Kashmir Institute of Medical Sciences) Mohammad Juned Ansari (Sher-i-Kashmir Institute of Medical Sciences) Ajay Patel (Sher-i-Kashmir Institute of Medical Sciences) Mohd Fazl ul Haq (Sher-i-Kashmir Institute of Medical Sciences) Shaheena Parveen (Sher-i-Kashmir Institute of Medical Sciences)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제28권 제3호
발행연도
2024.8
수록면
344 - 349 (6page)

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초록· 키워드

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Backgrounds/Aims: The implementation of enhanced recovery after surgery (ERAS) protocols has demonstrated significant advantages for patients by mitigating surgical stress and expediting recovery across a spectrum of surgical procedures worldwide. This investigation seeks to assess the effectiveness of the ERAS protocol specifically in the context of major liver resections within our geographical region.
Methods: Our department conducted retrospective analysis of prospectively collected data, gathered from consenting individuals who underwent liver resections from January 2018 to December 2023. The assessment encompassed baseline characteristics, preoperative indications, surgical outcomes, and postoperative complications among patients undergoing liver surgery.
Results: Among the included 184 patients (73 standard care, 111 ERAS program), the baseline characteristics were similar. Median postoperative hospital stay differed significantly: 5 days (range: 3–13 days) in ERAS, and 11 days (range: 6–22 days) in standard care (p < 0.001). Prophylactic abdominal drainage was less in ERAS (54.9%) than in standard care (86.3%, p < 0.001). Notably, in ERAS, 88.2% initiated enteral feeding orally on postoperative day 1, significantly higher than in standard care (47.9%, p < 0.001). Early postoperative mobilization was more common in ERAS (84.6%) than in standard care (36.9%, p < 0.001). Overall complication rates were 21.9% in standard care, and 8.1% in ERAS (p = 0.004).
Conclusions: Our investigation highlights the merits of ERAS protocol; adherence to its diverse components results in significant reduction in hospital length of stay, and reduced occurrence of postoperative complications, improving short-term recovery post liver resection.

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INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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