Pagina Iniziale » Pancreas » Linee Guida Eras Chirurgia Pancreatica
Principali Linee Guida ERAS per la Chirurgia Pancreatica
In questa pagina sono raccolte e (tentativamente) sempre aggiornate le principali linee guida nazionali ed internazionali sull’applicazione dei protocolli ERAS nella chirurgia pancreatica.
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
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}
}
2020
Melloul E; Lassen K; Roulin D; Grass F; Perinel J; Adham M; Wellge E B; Kunzler F; Besselink M G; Asbun H; Scott M J; Dejong C H C; Vrochides D; Aloia T; Izbicki J R; Demartines N
Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019 Journal Article
In: World Journal of Surgery, vol. 44, no 7, pp. 2056 – 2084, 2020, ISSN: 03642313, (Cited by: 106; All Open Access, Green Open Access).
@article{Melloul20202056,
title = {Guidelines for Perioperative Care for Pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) Recommendations 2019},
author = {Emmanuel Melloul and Kristoffer Lassen and Didier Roulin and Fabian Grass and Julie Perinel and Mustapha Adham and Erik Björn Wellge and Filipe Kunzler and Marc G. Besselink and Horacio Asbun and Michael J. Scott and Cornelis H. C. Dejong and Dionisos Vrochides and Thomas Aloia and Jakob R. Izbicki and Nicolas Demartines},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081884028&doi=10.1007%2fs00268-020-05462-w&partnerID=40&md5=3209299becbf54c400da096a5048c529},
doi = {10.1007/s00268-020-05462-w},
issn = {03642313},
year = {2020},
date = {2020-01-01},
urldate = {2020-01-01},
journal = {World Journal of Surgery},
volume = {44},
number = {7},
pages = {2056 – 2084},
publisher = {Springer},
abstract = {Background: Enhanced recovery after surgery (ERAS) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications, costs and hospital stay. This concept has been applied for pancreatic surgery since the first published guidelines in 2012. This study presents the updated ERAS recommendations for pancreatoduodenectomy (PD) based on the best available evidence and on expert consensus. Methods: A systematic literature search was conducted in three databases (Embase, Medline Ovid and Cochrane Library Wiley) for the 27 developed ERAS items. Quality of randomized trials was assessed using the Consolidated Standards of Reporting Trials statement checklist. The level of evidence for each item was determined using the Grading of Recommendations Assessment Development and Evaluation system. The Delphi method was used to validate the final recommendations. Results: A total of 314 articles were included in the systematic review. Consensus among experts was reached after three rounds. A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay. The highest level of evidence was available for five items: avoiding hypothermia, use of wound catheters as an alternative to epidural analgesia, antimicrobial and thromboprophylaxis protocols and preoperative nutritional interventions for patients with severe weight loss (> 15%). Conclusions: The current updated ERAS recommendations for PD are based on the best available evidence and processed by the Delphi method. Prospective studies of high quality are encouraged to confirm the benefit of current updated recommendations. © 2020, Société Internationale de Chirurgie.},
note = {Cited by: 106; All Open Access, Green Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2013
Lassen K; Coolsen M M E; Slim K; Carli F; Aguilar-Nascimento J E D; Schäfer M; Parks R W; Fearon K C H; Lobo D N; Demartines N; Braga M; Ljungqvist O; Dejong C H C
Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced recovery after surgery (ERAS®) society recommendations Journal Article
In: World Journal of Surgery, vol. 37, no 2, pp. 240 – 258, 2013, ISSN: 14322323, (Cited by: 255; All Open Access, Bronze Open Access).
@article{Lassen2013240,
title = {Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced recovery after surgery (ERAS®) society recommendations},
author = {Kristoffer Lassen and Marielle M. E. Coolsen and Karem Slim and Francesco Carli and José E. De Aguilar-Nascimento and Markus Schäfer and Rowan W. Parks and Kenneth C. H. Fearon and Dileep N. Lobo and Nicolas Demartines and Marco Braga and Olle Ljungqvist and Cornelis H. C. Dejong},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874078357&doi=10.1007%2fs00268-012-1771-1&partnerID=40&md5=4dfc1e3813aca85ef89167d29f792316},
doi = {10.1007/s00268-012-1771-1},
issn = {14322323},
year = {2013},
date = {2013-01-01},
urldate = {2013-01-01},
journal = {World Journal of Surgery},
volume = {37},
number = {2},
pages = {240 – 258},
abstract = {Background: Protocols for enhanced recovery provide comprehensive and evidence-based guidelines for best perioperative care. Protocol implementation may reduce complication rates and enhance functional recovery and, as a result of this, also reduce length-of-stay in hospital. There is no comprehensive framework available for pancreaticoduodenectomy. Methods: An international working group constructed within the Enhanced Recovery After Surgery (ERAS ®) Society constructed a comprehensive and evidence-based framework for best perioperative care for pancreaticoduodenectomy patients. Data were retrieved from standard databases and personal archives. Evidence and recommendations were classified according to the GRADE system and reached through consensus in the group. The quality of evidence was rated "high", "moderate", "low" or "very low". Recommendations were graded as "strong" or "weak". Results: Comprehensive guidelines are presented. Available evidence is summarised and recommendations given for 27 care items. The quality of evidence varies substantially and further research is needed for many issues to improve the strength of evidence and grade of recommendations. Conclusions: The present evidence-based guidelines provide the necessary platform upon which to base a unified protocol for perioperative care for pancreaticoduodenectomy. A unified protocol allows for comparison between centres and across national borders. It facilitates multi-institutional prospective cohort registries and adequately powered randomised trials. © 2012 Société Internationale de Chirurgie.},
note = {Cited by: 255; All Open Access, Bronze Open Access},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
2012
Balzano G; Capretti G; Pecorelli N; Martani C; Casiraghi U
ERAS Protocol: Pancreatic Surgery Pancreatoduodenectomy Working paper
2012, (Protocollo ERAS per la duodeno-cefalopancreasectomia (DCP) a cura del P.O.I.S. – Pre-Operative Italian Society).
@workingpaper{nokey,
title = {ERAS Protocol: Pancreatic Surgery Pancreatoduodenectomy},
author = {Gianpaolo Balzano and Giovanni Capretti and Nicolò Pecorelli and Carla Martani and Umberto Casiraghi},
editor = {POIS PeriOperative Italian Society – ERAS Italian Chapter},
url = {https://perioperativeitaliansociety.org/wp-content/uploads/2017/05/PROTOCOLLO-ERAS-DCP-0613.pdf},
year = {2012},
date = {2012-06-04},
note = {Protocollo ERAS per la duodeno-cefalopancreasectomia (DCP) a cura del P.O.I.S. – Pre-Operative Italian Society},
keywords = {},
pubstate = {published},
tppubtype = {workingpaper}
}
Balzano G; Capretti G; Pecorelli N; Martani C; Casiraghi U
ERAS Protocol: Pancreatic Surgery Distal Pancreatectomy Working paper
2012, (Protocollo ERAS per la pancreasectomia distale a cura del P.O.I.S. – Pre-Operative Italian Society).
@workingpaper{nokey,
title = {ERAS Protocol: Pancreatic Surgery Distal Pancreatectomy},
author = {Gianpaolo Balzano and Giovanni Capretti and Nicolò Pecorelli and Carla Martani and Umberto Casiraghi},
editor = {POIS PeriOperative Italian Society – ERAS Italian Chapter},
url = {https://perioperativeitaliansociety.org/wp-content/uploads/2017/05/PROTOCOLLO-ERAS1-pancreasectomia-distale-0613.pdf},
year = {2012},
date = {2012-06-04},
urldate = {2012-06-04},
note = {Protocollo ERAS per la pancreasectomia distale a cura del P.O.I.S. – Pre-Operative Italian Society},
keywords = {},
pubstate = {published},
tppubtype = {workingpaper}
}
- Ultimo aggiornamento della pagina: 10/12/2023