Fast-track programs

Francesca Ratti, Marco Catena, Michele Paganelli, Luca Aldrighetti

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The widespread of minimally invasive liver surgery has not only contributed to the evolution of the surgical technique but also innovation of patient management. Indeed, the application of multimodal perioperative care protocols, commonly referred as fast-track or enhanced recovery programs (enhanced recovery after surgery, ERAS), has achieved significant improvements in the outcome of a variety of surgical procedures. Targeting factors that delay postoperative recovery (pain, gut dysfunction, and immobility) and combining a series of interventions to reduce perioperative stress and organ dysfunction, such programs have shown to accelerate postoperative recovery and reduce length of stay, without affecting rate of postoperative complications or even reducing them. A structured and detailed program with well-defined recovery and discharge criteria has been developed and is currently introduced into clinical practice of centers involved in this program. Patients with benign tumors may benefit from these programs in terms of quality of life, cosmetic results, and social costs.

Original languageEnglish
Title of host publicationBenign Tumors of the Liver
PublisherSpringer International Publishing
Pages333-337
Number of pages5
ISBN (Print)9783319129853, 9783319129846
DOIs
Publication statusPublished - Jan 1 2015

Keywords

  • Benign tumors
  • ERAS
  • Fast-track
  • Functional recovery
  • Liver surgery

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

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