Initial implementation of enhanced recovery after surgery programme in pancreatic surgery in China

Abstract

thoracic epidural analgesia, maintenance of normothermia; Postoperative-immediate or early extubation, avoidance of salt and water overload, daily weight measurement, multimodal analgesia, early mobilisation, stimulation of gut motility, audit of compliance and outcomes. Results: Median postoperative stay was 85 (9.5-10.5) days with median ICU stay 0.7 (0.6-0.8) days. 51 (55.4%) patients of 92 [CI: 45.2-65.2%] extubated immediately after surgery. In 9 (9.2%) of 92 cases several pulmonary insufficiency (PaO 2 /FiO 2 <300 mmHg) was detected in first 3 days after surgery. There was no anastomotic leakage, while total 30-day morbidity rate (Dindo-Clavien I-II grade) was 35 (38%) of 92 [CI: 28.8-48.2%] and mortality rate was 4 (4.3%) of 92 [