The role of fast-track surgery in pancreaticoduodenectomy: A retrospective cohort study of 635 consecutive resections

Abstract

Pancreaticoduodenectomy can be further optimized by the use of FTS methods, which can reduce the incidence of in hospital postoperative complications and expenses without increasing the risk of readmission.

Enhanced Recovery After Surgery Program in Patients Undergoing Pancreaticoduodenectomy

“…Application of inclusion/exclusion criteria led to 17 articles 10 – 13 , 24 – 36 being subjected to detailed analysis. Of these studies, a further three 10 , 32 , 33 were excluded as they included pancreatic resections other than PD, leaving 14 studies 11 – 13 , 24 – 31 , 34 – 36 for data extraction. Patients in Sutcliff et al's study 34 were divided into high- and low-risk according to the risk of POPF using drain fluid amylase.…”

“…All the included studies were retrospective case–control series. Eleven studies 11 – 13 , 24 – 27 , 30 , 34 – 36 were conducted in Western populations, and 8 studies 11 – 13 , 26 – 28 , 30 , 31 had sample sizes >100. A total of 2719 patients were included with 1409 and 1310 patients in the ERAS group and CPC group, respectively.…”

“…A total of 2719 patients were included with 1409 and 1310 patients in the ERAS group and CPC group, respectively. There were 12 studies 11 – 13 , 24 – 26 , 28 , 29 , 31 , 34 – 36 with MINORS scores ≥13.…”

“…In 6 studies 11 , 24 , 29 , 30 , 35 , 36 only PD was performed, while PPPD was used as well as PD in 8 studies. 12 , 13 , 25 – 28 , 31 , 34 One Japanese study 28 included both PPPD and subtotal stomach-preserving PD alongside PD. Eleven studies 13 , 24 , 26 – 31 , 34 – 36 used the ISGPF definition for POPF.…”

Postoperative applications of the fast track technology in patients with herniated intervertebral discs of the lumbosacral spine

“…В итоге отмечается улучшение результатов хи-рургического лечения, снижение числа осложнений и стоимости лечения. Заметно возрастает качество пребывания больного в стационаре и улучшается его восприятие лечебного процесса [9,10].…”