Enhanced Recovery Pathways in Pancreatic Surgery
Enhanced Recovery Pathways in Pancreatic Surgery Barton JG. Enhanced Recovery Pathways in Pancreatic Surgery. Surg Clin North Am. 2016 Dec;96(6):1301-1312. What is already known: Mortality in pancreatic surgery has improved dramatically over the past number of years, from 25% in the 1970’s to only…
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Enhanced Recovery Pathways in Pancreatic Surgery
Enhanced Recovery Pathways in Pancreatic Surgery
What is already known: Mortality in pancreatic surgery has improved dramatically over the past number of years, from 25% in the 1970’s to only 2% in high-volume centres. Morbidity however remains in excess of 40%. The ERAS society has produced guidelines for pancreatic surgery in 2012, which can be found here.
What this paper adds: This is a really good overview of ERAS for pancreatic surgery, with both a literature review and a more detailed look at some of the specific pancreatic elements. These include: pre-operative biliary drainage, use of intra-abdominal drains post-op, somatostatin analogues and different analgesic regimens. The author also gives a detailed day to day run through of his own institutional ERAS programme.
Chris Jones, Guildford.
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