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Revista Colombiana de Cirugía
Print version ISSN 2011-7582
Abstract
NARI, Gustavo et al. Early experience in the application of an ERAS program in minor open hepatectomies for metatstases of colorectal cancer, with or without simultaneous colon resection. rev. colomb. cir. [online]. 2017, vol.32, n.4, pp.283-289. ISSN 2011-7582. https://doi.org/10.30944/20117582.36.
Introduction: The application of fast track programs in major abdominal surgery was initially implemented in open colonic surgery with comparable results to the laparoscopic approach. The decreases in hospital stay and in hospital costs were the main advantages. Recently the application of ERAS programs to liver surgery was transferred with apparently encouraging results. The aim of this study was to evaluate the initial results obtained in a group of patients undergoing hepatectomies due to hepatic metastases with or without simultaneous colon resection. Methods: Data from 13 minor liver resections for colorectal liver metastases with or without simultaneous resection of the primary tumor incorporated into an ERAS protocol were evaluated. Demographic data, hepatectomies, adherence to the protocol, and some factors that may affect the results of a rapid recovery, as well as what is considered full recovery at discharge, were evaluated. Results: in the 13 resections the application of the protocol could be carried out. As a main result, a short hospital stay (3.69 days) was achieved, adherence to the protocol was high and the total recovery at discharge was 46.2%. Conclusion: the application of this protocol has been successful in terms of a frank reduction of the hospital stay. The number of patients is small but the results are encouraging.
Keywords : neoplasias del colon; metástasis de la neoplasia; hepatectomía; protocolos clínicos; curva de aprendizaje; evolución clínica; evaluación de costo-efectividad; Colonic neoplasms; neoplasm metastasis; hepatectomy; clinical protocols; learning curve; clinical evolution; cost-effectiveness evaluation.
