Early postoperative outcomes for pancreaticoduodenectomy before and after implementation of enhanced recovery after surgery (ERAS) protocol

Quek Yeow Ling, Affirul Chairil Ariffin, Azlanudin Azman, Zamri Zuhdi, Hairol Azrin Othman, Razman Jarmin

Research output: Contribution to journalArticle

Abstract

Background: We implemented the Enhanced Recovery After Surgery (ERAS) for our post pancreaticoduodenectomy patients in our institution since 2013. This study aim to to determine the differences between the previous postoperative care and ERAS. Material and Method: We included all patients who underwent pancreaticoduodenectomy UKM Medical Centre (UKMMC) from Jan 2011 to April 2015. Subjects are divided into control group comprise pre-ERAS patient and study group comprise post ERAS implementation. Recorded data include demographics, patients’ characteristic, surgery data, complication, outcomes and length of stay. Results: Total subjects were 81 patients. There were no significant differences in the demographics and patients’ characteristic between both groups. Post-operative morbidity, re-laparotomy and readmission rate was equivalent. Mortality rate were more in pre-ERAS group but not significant. The length of stay was lower in the post ERAS group (11.7 days versus 15.4 days; p=0.002). Non-PD related complication is high within the pre-ERAS group (27.7% versus 5.9%; p=0,019). Conclusions: ERAS protocol have a lower complication rate and reduce hospital stay. It should be the standard management in post-operative pancreaticoduodenectomy care.

Original languageEnglish
Pages (from-to)109-113
Number of pages5
JournalSurgical Chronicles
Volume22
Issue number3
Publication statusPublished - 1 Jul 2017

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Pancreaticoduodenectomy
Length of Stay
Demography
Postoperative Care
Laparotomy
Morbidity
Control Groups
Mortality

Keywords

  • Metastases
  • Neoplasm
  • Outcome
  • Pancreaticoduodenectomy

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Early postoperative outcomes for pancreaticoduodenectomy before and after implementation of enhanced recovery after surgery (ERAS) protocol",
abstract = "Background: We implemented the Enhanced Recovery After Surgery (ERAS) for our post pancreaticoduodenectomy patients in our institution since 2013. This study aim to to determine the differences between the previous postoperative care and ERAS. Material and Method: We included all patients who underwent pancreaticoduodenectomy UKM Medical Centre (UKMMC) from Jan 2011 to April 2015. Subjects are divided into control group comprise pre-ERAS patient and study group comprise post ERAS implementation. Recorded data include demographics, patients’ characteristic, surgery data, complication, outcomes and length of stay. Results: Total subjects were 81 patients. There were no significant differences in the demographics and patients’ characteristic between both groups. Post-operative morbidity, re-laparotomy and readmission rate was equivalent. Mortality rate were more in pre-ERAS group but not significant. The length of stay was lower in the post ERAS group (11.7 days versus 15.4 days; p=0.002). Non-PD related complication is high within the pre-ERAS group (27.7{\%} versus 5.9{\%}; p=0,019). Conclusions: ERAS protocol have a lower complication rate and reduce hospital stay. It should be the standard management in post-operative pancreaticoduodenectomy care.",
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author = "Ling, {Quek Yeow} and Ariffin, {Affirul Chairil} and Azlanudin Azman and Zamri Zuhdi and Othman, {Hairol Azrin} and Razman Jarmin",
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AU - Zuhdi, Zamri

AU - Othman, Hairol Azrin

AU - Jarmin, Razman

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N2 - Background: We implemented the Enhanced Recovery After Surgery (ERAS) for our post pancreaticoduodenectomy patients in our institution since 2013. This study aim to to determine the differences between the previous postoperative care and ERAS. Material and Method: We included all patients who underwent pancreaticoduodenectomy UKM Medical Centre (UKMMC) from Jan 2011 to April 2015. Subjects are divided into control group comprise pre-ERAS patient and study group comprise post ERAS implementation. Recorded data include demographics, patients’ characteristic, surgery data, complication, outcomes and length of stay. Results: Total subjects were 81 patients. There were no significant differences in the demographics and patients’ characteristic between both groups. Post-operative morbidity, re-laparotomy and readmission rate was equivalent. Mortality rate were more in pre-ERAS group but not significant. The length of stay was lower in the post ERAS group (11.7 days versus 15.4 days; p=0.002). Non-PD related complication is high within the pre-ERAS group (27.7% versus 5.9%; p=0,019). Conclusions: ERAS protocol have a lower complication rate and reduce hospital stay. It should be the standard management in post-operative pancreaticoduodenectomy care.

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