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Principali Linee Guida ERAS per la Chirurgia Epatica
In questa pagina sono raccolte e (tentativamente) sempre aggiornate le principali linee guida nazionali ed internazionali sull’applicazione dei protocolli ERAS nella chirurgia epatica.
Molte di queste Linee Guida hanno una importante implicazione per il trattamento chirurgico.
La consultazione di qualcuna fra le linea guida qui elencate potrebbe non essere offerta in maniera gratuita dal sito dell’editore del giornale scientifico che l’ha pubblicata.
Seleziona, aprendo il menù, la categoria di Linee Guida che vuoi vedere:
- Epatocarcinoma
- Colangiocarcinoma
- Metastasi
- Tumori Benigni Fegato
- Chirurgia Epatica
- Resezioni Laparo
- Resezioni Robotiche
- Trapianto Fegato
- ERAS Chirurgia Fegato
- Tumore Colecisti
- Calcoli Colecisti
- Polipi Colecisti
- Colangite Acuta
- Danni Via Biliare
- Tumore del Pancreas
- IPMN – Tumori Cistici Pancreas
- Pancreatite Acuta
- Chirurgia Pancreas
- ERAS Pancreas
- Traumi Fegato
- Esami Fegato
- Diagnosi Lesioni Focali Epatiche
- Centro di Chirurgia HBP
- Storia Chirurgia Epatobiliare
- Tutte le Linee Guida
2022
Joliat G; Kobayashi K; Hasegawa K; Thomson J; Padbury R; Scott M; Brustia R; Scatton O; Cao H S T; Vauthey J; Dincler S; Clavien P; Wigmore S J; Demartines N; Melloul E
Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022 Journal Article
In: World Journal of Surgery, 2022, ISSN: 03642313, (Cited by: 0; All Open Access, Green Open Access, Hybrid Gold Open Access).
@article{Joliat2022,
title = {Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022},
author = {Gaëtan-Romain Joliat and Kosuke Kobayashi and Kiyoshi Hasegawa and John-Edwin Thomson and Robert Padbury and Michael Scott and Raffaele Brustia and Olivier Scatton and Hop S. Tran Cao and Jean-Nicolas Vauthey and Selim Dincler and Pierre-Alain Clavien and Stephen J. Wigmore and Nicolas Demartines and Emmanuel Melloul},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85141000530&doi=10.1007%2fs00268-022-06732-5&partnerID=40&md5=1086c50d7ba7b6e5086cec811742e90f},
doi = {10.1007/s00268-022-06732-5},
issn = {03642313},
year = {2022},
date = {2022-01-01},
urldate = {2022-01-01},
journal = {World Journal of Surgery},
publisher = {Springer Science and Business Media Deutschland GmbH},
abstract = {Background: Enhanced Recovery After Surgery (ERAS) has been widely applied in liver surgery since the publication of the first ERAS guidelines in 2016. The aim of the present article was to update the ERAS guidelines in liver surgery using a modified Delphi method based on a systematic review of the literature. Methods: A systematic literature review was performed using MEDLINE/PubMed, Embase, and the Cochrane Library. A modified Delphi method including 15 international experts was used. Consensus was judged to be reached when >80% of the experts agreed on the recommended items. Recommendations were based on the Grading of Recommendations, Assessment, Development and Evaluations system. Results: A total of 7541 manuscripts were screened, and 240 articles were finally included. Twenty-five recommendation items were elaborated. All of them obtained consensus (>80% agreement) after 3 Delphi rounds. Nine items (36%) had a high level of evidence and 16 (64%) a strong recommendation grade. Compared to the first ERAS guidelines published, 3 novel items were introduced: prehabilitation in high-risk patients, preoperative biliary drainage in cholestatic liver, and preoperative smoking and alcohol cessation at least 4 weeks before hepatectomy. Conclusions: These guidelines based on the best available evidence allow standardization of the perioperative management of patients undergoing liver surgery. Specific studies on hepatectomy in cirrhotic patients following an ERAS program are still needed. © 2022, The Author(s).},
note = {Cited by: 0; All Open Access, Green Open Access, Hybrid Gold Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Bayramov N; Mammadova Sh
A review of the current ERAS guidelines for liver resection, liver transplantation and pancreatoduodenectomy Journal Article
In: Annals of Medicine and Surgery, vol. 82, 2022, ISSN: 20490801, (Cited by: 0; All Open Access, Gold Open Access, Green Open Access).
@article{Bayramov2022,
title = {A review of the current ERAS guidelines for liver resection, liver transplantation and pancreatoduodenectomy},
author = {N. Bayramov and Sh. Mammadova},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85137637638&doi=10.1016%2fj.amsu.2022.104596&partnerID=40&md5=2a8999cca65566b0018e5d60125bbb89},
doi = {10.1016/j.amsu.2022.104596},
issn = {20490801},
year = {2022},
date = {2022-01-01},
urldate = {2022-01-01},
journal = {Annals of Medicine and Surgery},
volume = {82},
publisher = {Elsevier Ltd},
abstract = {In perioperative care after liver resection, transplantation and pancreatoduodenectomy, ERAS (Enhanced Recovery After Surgery) recommendations are based on the reducing invasiveness of procedures and the severity of the surgical stress, which results in decreasing complications and enhanced recovery. Recommendations for all three operations can be classified into five groups: recommended for all patients, recommended for special patient groups, rejected for all patients, controversial recommendations, specific recommendations for all three operations. Preoperative counselling and psychological support, nutritional support, smoking and alcohol cessation, pre- and intraoperative antibiotic prophylaxis, thrombosis prevention, limiting of preoperative hunger and thirst to 4 and 6 h, preoperative intaking carbohydrate rich drink, alcohol-based antiseptics for skin preparation, a goal-directed infusion therapy, providing normothermia, early removal of the drainage tube, glycemic control, dual antiemetic therapy, multimodal analgesia strategies, early oral feeding and activation, audit recommend for all patients. Postoperative antibiotic prophylaxis, enteral and parenteral nutrition, short-acting anxiolytics are recommended for individual patients. It is recommended to avoid Mercedes type incision, use of long-acting anxiolytics and postoperative nasogastric tube. The benefits of preoperative physical exercise, immunonutrition and probiotics are controversial. There are no specific recommendations for thoracic epidural anesthesia, preventing delayed gastric emptying and intestinal paresis in liver surgery. © 2022},
note = {Cited by: 0; All Open Access, Gold Open Access, Green Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Brustia R; Monsel A; Skurzak S; Schiffer E; Carrier F M; Patrono D; Kaba A; Detry O; Malbouisson L; Andraus W; Vandenbroucke-Menu F; Biancofiore G; Kaido T; Compagnon P; Uemoto S; Laiz G R; Boer M D; Orloff S; Melgar P; Buis C; Zeillemaker-Hoekstra M; Usher H; Reyntjens K; Baird E; Demartines N; Wigmore S; Scatton O
Guidelines for Perioperative Care for Liver Transplantation: Enhanced Recovery after Surgery (ERAS) Recommendations Journal Article
In: Transplantation, vol. 106, no. 3, pp. 552 – 561, 2022, ISSN: 00411337, (Cited by: 10; All Open Access, Green Open Access).
@article{Brustia2022552,
title = {Guidelines for Perioperative Care for Liver Transplantation: Enhanced Recovery after Surgery (ERAS) Recommendations},
author = {Raffaele Brustia and Antoine Monsel and Stefano Skurzak and Eduardo Schiffer and François Martin Carrier and Damiano Patrono and Abdourahamane Kaba and Olivier Detry and Luiz Malbouisson and Wellington Andraus and Franck Vandenbroucke-Menu and Gianni Biancofiore and Toshimi Kaido and Philippe Compagnon and Shinji Uemoto and Gonzalo Rodriguez Laiz and Marieke De Boer and Susan Orloff and Paola Melgar and Carlijn Buis and Miriam Zeillemaker-Hoekstra and Helen Usher and Koen Reyntjens and Emily Baird and Nicolas Demartines and Stephen Wigmore and Olivier Scatton},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85125006375&doi=10.1097%2fTP.0000000000003808&partnerID=40&md5=082ddb84c23154f85ae4617dbd1f8be7},
doi = {10.1097/TP.0000000000003808},
issn = {00411337},
year = {2022},
date = {2022-01-01},
urldate = {2022-01-01},
journal = {Transplantation},
volume = {106},
number = {3},
pages = {552 – 561},
publisher = {Lippincott Williams and Wilkins},
abstract = {Background. Enhanced Recovery After Surgery (ERAS) is a multimodal, evidence-based, program of care developed to minimize the response to surgical stress, associated with reduced perioperative morbidity and hospital stay. This study presents the specific ERAS Society recommendations for liver transplantation (LT) based on the best available evidence and on expert consensus Methods. PubMed and ClinicalTrials.gov were searched in April 2019 for published and ongoing randomized clinical trials on LT in the last 15 y. Studies were selected by 5 independent reviewers and were eligible if focusing on each validated ERAS item in the area of adult LT. An e-Delphi method was used with an extended interdisciplinary panel of experts to validate the final recommendations. Results. Forty-three articles were included in the systematic review. A consensus was reached among experts after the second round. Patients should be screened for malnutrition and treated whenever possible. Prophylactic nasogastric intubation and prophylactic abdominal drainage may be omitted, and early extubation should be considered. Early oral intake, mobilization, and multimodal-balanced analgesia are recommended. Conclusions. The current ERAS recommendations were elaborated based on the best available evidence and endorsed by the e-Delphi method. Nevertheless, prospective studies need to confirm the clinical use of the suggested protocol. © 2022 Lippincott Williams and Wilkins. All rights reserved.},
note = {Cited by: 10; All Open Access, Green Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2016
Melloul E; Hübner M; Scott M; Snowden C; Prentis J; Dejong C H C; Garden O J; Farges O; Kokudo N; Vauthey J; Clavien P; Demartines N
Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations Journal Article
In: World Journal of Surgery, vol. 40, no. 10, pp. 2425 – 2440, 2016, ISSN: 03642313, (Cited by: 279; All Open Access, Bronze Open Access, Green Open Access).
@article{Melloul20162425,
title = {Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations},
author = {Emmanuel Melloul and Martin Hübner and Michael Scott and Chris Snowden and James Prentis and Cornelis H. C. Dejong and O. James Garden and Olivier Farges and Norihiro Kokudo and Jean-Nicolas Vauthey and Pierre-Alain Clavien and Nicolas Demartines},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983484849&doi=10.1007%2fs00268-016-3700-1&partnerID=40&md5=3186dea22b6ff9289d33faffa4d0336d},
doi = {10.1007/s00268-016-3700-1},
issn = {03642313},
year = {2016},
date = {2016-01-01},
urldate = {2016-01-01},
journal = {World Journal of Surgery},
volume = {40},
number = {10},
pages = {2425 – 2440},
publisher = {Springer New York LLC},
abstract = {Background: Enhanced Recovery After Surgery (ERAS) is a multimodal pathway developed to overcome the deleterious effect of perioperative stress after major surgery. In colorectal surgery, ERAS pathways reduced perioperative morbidity, hospital stay and costs. Similar concept should be applied for liver surgery. This study presents the specific ERAS Society recommendations for liver surgery based on the best available evidence and on expert consensus. Methods: A systematic review was performed on ERAS for liver surgery by searching EMBASE and Medline. Five independent reviewers selected relevant articles. Quality of randomized trials was assessed according to the Jadad score and CONSORT statement. The level of evidence for each item was determined using the GRADE system. The Delphi method was used to validate the final recommendations. Results: A total of 157 full texts were screened. Thirty-seven articles were included in the systematic review, and 16 of the 23 standard ERAS items were studied specifically for liver surgery. Consensus was reached among experts after 3 rounds. Prophylactic nasogastric intubation and prophylactic abdominal drainage should be omitted. The use of postoperative oral laxatives and minimally invasive surgery results in a quicker bowel recovery and shorter hospital stay. Goal-directed fluid therapy with maintenance of a low intraoperative central venous pressure induces faster recovery. Early oral intake and mobilization are recommended. There is no evidence to prefer epidural to other types of analgesia. Conclusions: The current ERAS recommendations were elaborated based on the best available evidence and endorsed by the Delphi method. Nevertheless, prospective studies need to confirm the clinical use of the suggested protocol. © 2016, Société Internationale de Chirurgie.},
note = {Cited by: 279; All Open Access, Bronze Open Access, Green Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2014
Aldrighetti L; Francesca R; Federica C; Annalisa G; Reineke R; Laura C; Silvia M; Frati E; Casiraghi U; Elisabetta B
Protocollo ERAS Resezioni Epatiche Working paper
2014, (Protocollo ERAS per le resezioni epatiche a cura del P.O.I.S. – Pre-Operative Italian Society).
@workingpaper{nokey,
title = {Protocollo ERAS Resezioni Epatiche},
author = {Luca Aldrighetti and Ratti Francesca and Cipriani Federica and Galliano Annalisa and Raffaella Reineke and Comotti Laura and Morero Silvia and Elena Frati and Umberto Casiraghi and Bassani Elisabetta},
editor = {POIS PeriOperative Italian Society – ERAS Italian Chapter},
url = {https://perioperativeitaliansociety.org/wp-content/uploads/2017/05/PROTOCOLLI-ERAS-NELLA-CHIRURGIA-EPATO-versione-novembre-2014.pdf},
year = {2014},
date = {2014-11-03},
urldate = {2014-11-03},
note = {Protocollo ERAS per le resezioni epatiche a cura del P.O.I.S. – Pre-Operative Italian Society},
keywords = {},
pubstate = {published},
tppubtype = {workingpaper}
}
- Ultimo aggiornamento della pagina: 23/03/2023