Enhanced recovery after surgery program in patients undergoing pancreaticoduodenectomy: A systematic review and meta-analysis

Multivariable analysis of predictors of unplanned hospital readmission after pancreaticoduodenectomy: development of a validated risk score

“…In recent decades, ERAS pathways have been effectively introduced into a wide range of surgical specialties and have been associated with improved outcomes and reduced length of stay, without necessarily impacting on readmission after discharge. [21][22][23][24][25][26] Unplanned readmission after PD occurs in 16-22% of patients, 20,[27][28][29] and is usually related to a surgical complication. It has been suggested that readmissions up to 90 days after discharge following pancreatic surgery should be reported to capture all patients with postoperative complications.…”

The Reporting on ERAS Compliance, Outcomes, and Elements Research (RECOvER) Checklist: A Joint Statement by the ERAS® and ERAS® USA Societies

“…ERAS programs have expanded beyond colorectal surgery to other surgical disciplines and have been implemented successfully in pancreatic surgery, thoracic surgery, liver resection, urologic surgery, gynecologic surgery, and emergency surgery, among others [5,[9][10][11][12][13]]. An unintentional effect of this rapid expansion has been significant variations in how ERAS studies are reported [14].…”

Enhanced Recovery Deviation and Failure After Pancreaticoduodenectomy: Causative Factors and Impact

“…4 Purported benefits include reduced admission related costs, incidence of DGE, overall morbidity and length of stay (LoS). 7 Reflecting these benefits, and considering that the incidence of postoperative complications following PD reaches 65% in some series, 8 it is unsurprising that ERAS protocols designed specifically for those undergoing PD have been recommended by major international societies. 6 However, despite the best efforts of both clinicians and patients, there will be some patients who will either deviate from the ERAS protocol or fail ERAS' key goals.…”