ERAS, fast track perioperative management in HPB surgery
Epublication WebSurg.com, May 2017;17(05). URL: http://websurg.com/doi/lt03endejong002
In this key lecture, Dr. DeJong describes the concept of the enhanced recovery after surgery (ERAS) project with the objectives of fast-track preoperative, intraoperative, and postoperative management in HPB surgery. He highlights a breakthrough project run in the Netherlands with discharge criteria along with other national initiatives in the UK, Sweden, France, and worldwide with examples of randomized clinical trials. He describes the guidelines and initial experience of fast-track liver surgery with the ERAS pancreas program and compares it to the ORANGE-II trial. He outlines the PANDA trial with or without drain, and puts forward the recommendations for perioperative management.