Impact of Enhanced Recovery After Surgery (ERAS) approach and minimally-invasive techniques on outcome of patients undergoing liver surgery for hepatocellular carcinoma. A comparative study from a single institution

Ratti, Francesca; Cipriani, Francesco; Reineke, Raffaella; Catena, Marco; Comotti, Laura; Beretta, Luigi; Aldrighetti, Luca

doi:10.1016/j.clnesp.2016.02.036

Cited by 4 publications

(4 citation statements)

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“…A recent study by Tohme et al, specifically addressing this topic, reported that patients undergoing laparoscopic liver resection have a shorter interval to postoperative chemotherapy compared with those undergoing open surgery; furthermore, univariable analysis confirmed that the surgical approach was associated with the timing of chemotherapy. In the setting of laparoscopic liver resection, the implementation of enhanced recovery after surgery programs has resulted in patients having less blood loss and in lower rates of postoperative morbidity …”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic vs Open Surgery for Colorectal Liver Metastases

et al. 2018

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In this study, the results of the propensity score matching analysis between modern laparoscopic surgery and previous open surgery appear to confer more comparable cohorts for complexity, further supporting the advantages of laparoscopy in the surgical treatment of liver metastases from colorectal cancer. The increase in use that laparoscopy has experienced appears to be based on increased feasibility, widening of eligibility criteria for patients, enhanced clinical effectiveness, and oncologic outcomes. All these elements together suggest that up to 70% of patients appear to be candidates for this minimally invasive surgical approach in high-volume centers.

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Section: Discussionmentioning

confidence: 99%

“…In the setting of laparoscopic liver resection, the implementation of enhanced recovery after surgery programs has resulted in patients having less blood loss and in lower rates of postoperative morbidity. 20 Oncologic Outcome…”

Section: Clinical Effectivenessmentioning

confidence: 99%

Laparoscopic vs Open Surgery for Colorectal Liver Metastases

et al. 2018

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“…3 Within these two operating methods the preferred surgical technique is laparoscopic. 4,5 The reason for opting laparoscopic has been mostly reported as minimal incisionsite, reduced time of recovery as well as decreased post-operative pain and wound infection. 6 Appendicitis can occur at any time in life and therefore is not age restricted.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Laparoscopic and Open Appendectomy in Terms of Surgical Site Infection

Mirani¹,

Ali²,

Kumar³

et al. 2022

PJMHS

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Objective: To compare the laparoscopic and open appendectomy in terms of surgical site infection. Study Design: Retrospective study Place and Duration of Study: Department of Surgery Unit-2, Ghulam Muhammad Mahar Medical College Hospital Sukkur from 1st January 2019 to 31st December 2020. Methodology: One hundred patients who were further divided in two groups with 50 patients each were enrolled after clinical confirmation of appendicitis. Group A was operated through open surgery method while Group B was operated laparoscopically. The data regarding hospital stay, duration of surgery and surgical site infection through both techniques was compared and data analyzed. Results: The mean age of patients was 26.5±5.5 years males with a percentage of 76% where as only 24% of the study cases were females. Patients undergoing laparoscopy were having reduced prevalence of surgical site infection as 10% than who underwent open surgery. Among the 26.54% of reported co-morbidity cases as well, there were 65% those who has surgical site infection with open surgery protocol. Conclusion: Laparoscopic surgery technique is highly efficient in reducing surgical site infection in comparison to open surgery method. Keywords: Appendectomy, Open surgery, Laparoscopic, Surgical site infection

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“…Laparoscopic surgical operation has overcome open surgeries internationally due to many reasons. [2][3][4][5] Small incision site, less recovery time and post operative pain are a few of such reasons. In addition to this literature also supports the fact that laparoscopic surgeries decrease the chance of wound infection.…”

Section: Introductionmentioning

confidence: 99%

Association of Wound Infection with Various Surgical Technique Applied for Appendectomy in Diabetic and Hypertensive Patients

Armughan¹,

Sadiq²,

Mukhtar³

et al. 2021

PJMHS

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Background: Perforated appendix in diabetic as well as hypertensive patients is associated with elevated risks of postoperative infectious complications such as wound infection and intra-abdominal abscess. Objective: To identify better appendectomy procedure for diabetic and hypertensive patients. Study Design: Randomized Controlled Trial Place and Duration of Study: Department of Surgery, Unit l, Bahawal Victoria Hospital Bahawalpur from 10th October 2020 to 9th April 2021. Methodology: Ninety eight patients meeting the criteria of perforated appendix were divided in two groups; one group consisted of 49 patients who were managed by open surgical procedure. Second group was consisted of 49 patients who were managed by laparoscopic surgical procedure. Patient outcomes in-terms of wound infections, operative time and duration of surgery was assessed. Results: Mean age of patients was 25.49±6.03 years. There were 17 hypertensive while 15 diabetic patients. Wound infection was seen in 21% and 28% open surgery diabetic and hypertensive patients respectively in comparison to 10%and 8% in laparoscopic appendectomy diabetic and hypertensive patients respectively (p<0.001). Conclusion: Laparoscopic appendectomy (LA) is associated with significantly lower rates of post-operative wound infections and shorter hospital stay in comparison to open appendectomy in diabetic and hypertensive patients of perforated appendicitis. Key Words: Perforated appendix, laparoscopic, open appendectomy

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Impact of Enhanced Recovery After Surgery (ERAS) approach and minimally-invasive techniques on outcome of patients undergoing liver surgery for hepatocellular carcinoma. A comparative study from a single institution

Cited by 4 publications

References 0 publications

Laparoscopic vs Open Surgery for Colorectal Liver Metastases

Laparoscopic vs Open Surgery for Colorectal Liver Metastases

Comparison of Laparoscopic and Open Appendectomy in Terms of Surgical Site Infection

Association of Wound Infection with Various Surgical Technique Applied for Appendectomy in Diabetic and Hypertensive Patients

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