Enhanced Recovery After Surgery in Octogenarians undergoing hepatopancreatobiliary surgery

Enhanced Recovery After Surgery in Octogenarians undergoing hepatopancreatobiliary surgery

Jordan N Robinson, Joshua M K Davis, Ryan C Pickens, Allyson R Cochran, Lacey King, Patrick Salibi^,, David A Iannitti, John B Martinie, Erin H Baker, Lee M Ocuin, Dionisios Vrochides.

Am Surg 2021 Dec 4;31348211054063.doi:10.1177/00031348211054063

What is already known:

The application of ERAS after hepato-pancreato-biliary (HPB) surgey is associated with improved postoperative outcome. However, its actual benefit for very elderly patients undergoing major HPB surgery needs to be established.

What this paper adds:

This single-center retrospective cohort study compared patients aged 80 years or older with major elective HPB surgery before and after ERAS implementation. A majority of patients (31 out of 35) had a pancreatic surgery. The median compliance to ERAS was 64%. The thirty-day readmission rate was significantly reduced from 50% to 15% (p = 0.037) following ERAS implementation. This study shows that ERAS for octogenarian after major HPB surgery is feasible and may be associated with more sustainable recovery.