Enhanced recovery after liver surgery in cirrhotic patients: a systematic review and meta-analysis

Autor: Constant Delabays, Nicolas Demartines, Gaëtan-Romain Joliat, Emmanuel Melloul
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Perioperative Medicine, Vol 13, Iss 1, Pp 1-12 (2024)
Druh dokumentu: article
ISSN: 2047-0525
DOI: 10.1186/s13741-024-00375-x
Popis: Abstract Background Few studies have assessed enhanced recovery after surgery (ERAS) in liver surgery for cirrhotic patients. The present meta-analysis assessed the impact of ERAS pathways on outcomes after liver surgery in cirrhotic patients compared to standard care. Methods A literature search was performed on PubMed/MEDLINE, Embase, and the Cochrane Library. Studies comparing ERAS protocols versus standard care in cirrhotic patients undergoing liver surgery were included. The primary outcome was post-operative complications, while secondary outcomes were mortality rates, length of stay (LoS), readmissions, reoperations, and liver failure rates. Results After evaluating 41 full-text manuscripts, 5 articles totaling 646 patients were included (327 patients in the ERAS group and 319 in the non-ERAS group). Compared to non-ERAS care, ERAS patients had less risk of developing overall complications (OR 0.43, 95% CI 0.31–0.61, p
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje