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Dalgatov K.D.

Pirogov City Clinical Hospital No. 1

Kozodaeva M.V.

Pirogov Russian National Research Medical University

Titkova S.M.

Pirogov Russian National Research Medical University

Smirnova O.A.

Pirogov Russian National Research Medical University

Sazhin A.V.

Pirogov Russian National Research Medical University

Safety of enhanced recovery after surgery (ERAS) protocol in the treatment of patients undergoing pancreatoduodenectomy

Authors:

Dalgatov K.D., Kozodaeva M.V., Titkova S.M., Smirnova O.A., Sazhin A.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(11): 19‑26

DOI: 10.17116/hirurgia202111119

Views: 2162

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Table of contents

SAFETY OF ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL IN THE TREATMENT OF PATIENTS UNDERGOING PANCREATODUODENECTOMY
SAFETY OF ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL IN THE TREATMENT OF PATIENTS UNDERGOING PANCREATODUODENECTOMY

To cite this article:

Dalgatov KD, Kozodaeva MV, Titkova SM, Smirnova OA, Sazhin AV. Safety of enhanced recovery after surgery (ERAS) protocol in the treatment of patients undergoing pancreatoduodenectomy. Pirogov Russian Journal of Surgery. 2021;(11):19‑26. (In Russ.)
https://doi.org/10.17116/hirurgia202111119

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To study the effectiveness of enhanced recovery after surgery (ERAS) protocol versus traditional perioperative management in patients with hepatopancreatobiliary tumors undergoing pancreatoduodenectomy.

MATERIAL AND METHODS

The study included 111 patients who have undergone pancreatoduodenectomy between January 2014 and December 2019. Patients were divided into 2 groups: perioperative ERAS protocol (85 patients) and traditional treatment (26 patients). Postoperative complications, length of hospital-stay and incidence of readmissions were analyzed.

RESULTS

Mean length of hospital-stay for ERAS protocol was 13.4±7.6 days, conventional management — 16.5±7.5 days (p=0.004). Postoperative 30-day mortality was 8.24 and 7.7% in both groups, respectively (p=1.0). Intraoperative blood loss was significantly less in the ERAS group (248.24±214.0 vs. 321.15±155.0 ml, p=0.004). Overall incidence of postoperative complications was 56.5% and 65.4%, respectively (p=0.420). However, incidence of Clavien—Dindo grade IV complications was significantly higher in case of traditional treatment (19.2 vs. 4.7%, p=0.015). Readmission rate within 30 days was slightly less in the ERAS group (6.4 vs. 20.8%, p=0.052).

CONCLUSION

Enhanced recovery after surgery protocol is safe, reduces the number of postoperative complications, length of hospital-stay and rate of readmissions.

Keywords:

enhanced recovery after surgery protocol
ERAS
Fast-track surgery
pancreatoduodenectomy

Authors:

Dalgatov K.D.

Pirogov City Clinical Hospital No. 1

Kozodaeva M.V.

Pirogov Russian National Research Medical University

Titkova S.M.

Pirogov Russian National Research Medical University

Smirnova O.A.

Pirogov Russian National Research Medical University

Sazhin A.V.

Pirogov Russian National Research Medical University

Received:

22.12.2020

Accepted:

15.03.2021

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