WE’RE THRILLED TO SHARE THAT THE ERAS® INTERACTIVE AUDIT SYSTEM NOW INCLUDES THE NEW PROTOCOL FOR LIVER SURGERY
Since the first ERAS® Society guidelines for liver surgery were introduced in 2016[1], there’s been a notable improvement in postoperative patient outcomes, as evidenced by several publications [2, 3] and three recent meta-analyses [4, 5, 6].
These analyses show significant reductions in postoperative complications, LOS, and overall costs thanks to ERAS® implementation.
WHAT’S NEW IN THE GUIDELINES?
The updated guidelines[7] are now exclusively based on studies specific to liver surgery, enhancing their relevance and impact.
This marks a progress from the initial guidelines, where one third of the recommendations were derived from non-liver surgery studies. 25 recommendation items have been elaborated, whereof three are completely new compared to the initial guidelines:
- Prehabilitation in high-risk patients.
- Preoperative biliary drainage in cholestatic liver.
- Preoperative smoking and alcohol cessation at least 4 weeks before hepatectomy.
These new guidelines based on best practice allow standardization of the perioperative pathway for liver surgery. With Encare’s solutions for ERAS® implementation (ERAS® Interactive Audit System and ERAS® Implementation Program) we support you in making the most out of the guidelines.
WHY CHOOSE EIAS FOR YOUR ERAS® IMPLEMENTATION?
With our platform, you’re adopting a truly evidence-based, multidisciplinary, and perioperative approach, based on the most up-to-date clinical knowledge. EIAS users have reported increased ERAS® Society guidelines compliance and thereby fewer complications, reduced LOS, and substantial cost savings.
We believe that this update can benefit all healthcare providers who perform liver surgeries. If this includes you, take the opportunity to begin your true ERAS® journey!
Please also share it with your peers within liver surgery.
References:
- Melloul E, Hübner M, Scott M et al (2016) Guidelines for perioperative care for liver surgery: enhanced recovery after surgery (ERAS) society recommendations. World J Surg 40:2425–2440.
- Liang X, Ying H, Wang H et al (2016) Enhanced recovery program versus traditional care in laparoscopic hepatectomy. Medicine (Baltimore) 95:e2835
- Liang X, Ying H, Wang H et al (2018) Enhanced recovery care versus traditional care after laparoscopic liver resections: a randomized controlled trial. Surg Endosc 32:2746–2757
- Li L, Chen J, Liu Z et al (2017) Enhanced recovery program versus traditional care after hepatectomy: a meta-analysis. Medicine (Baltimore) 96:e8052
- Zhao Y, Qin H, Wu Y, Xiang B (2017) Enhanced recovery after surgery program reduces length of hospital stay and complications in liver resection: a PRISMA-compliant systematic review and meta-analysis of randomized controlled trials. Medicine (Baltimore) 96:e7628
- Noba L, Rodgers S, Chandler C et al (2020) Enhanced recovery after surgery (ERAS) reduces hospital costs and improve clinical outcomes in liver surgery: a systematic review and meta-analysis. J Gastrointest Surg 24:918–932
- Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022. World J Surg 47, 11–34 (2023).
