Key result
Laparoscopic hepatic resection shows no benefit over open surgery for hospital stays or complications within ERAS.
Why the study?
Some authors suggest laparoscopy is central to achieving better results within ERAS, prompting a comparison between laparoscopic and open hepatic resections within an ERAS program.
Does laparoscopic hepatic resection improve outcomes compared to open hepatic resection in patients within an ERAS program?
Observational (n=80)
Does laparoscopic hepatic resection improve outcomes compared to open hepatic resection in patients within an ERAS program?
Laparoscopic and open hepatic resections show similar hospital stay and complication rates within an ERAS program, though open surgery had better ERAS adherence and faster ambulation.
Similar outcomes with laparoscopic versus open resection in ERAS; hypothesis-generating and should not yet change practice.
BACKGROUND: The use of a successful Enhanced Recovery After Surgery (ERAS) in colorectal surgery favored its application in other organs, and hepatic resections were not excluded from this tendency. Some authors suggest that the laparoscopic approach is a central element to obtain better results. AIM: To compare the laparoscopic vs. open hepatic resections within an ERAS to evaluate if there are any differences between them. METHODS: In a descriptive study 80 hepatic resections that were divided into two groups, regarding to whether they were submitted to laparoscopy or open surgery. Demographic data, those referring to the hepatectomy and the ERAS was analyzed. RESULTS: Forty-seven resections were carried out in open surgery and the rest laparoscopically; in the first group there was only one conversion to open surgery. Of the total, 17 resections were major hepatectomies and in 18 simultaneous resections. There were no differences between procedures regarding hospital stay and number of complications. There was a greater adherence to the ERAS (p=0.046) and a faster ambulation (p=0.001) in the open surgery. CONCLUSION: The procedure, whether open or laparoscopically done in hepatic resections, does not seem to show differences in an ERAS evaluation.
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Nari et al. (2021) conducted an observational in Hepatic resections (n=80). Laparoscopic hepatic resection vs. Open hepatic resection was evaluated on Hospital stay and number of complications. Laparoscopic hepatic resection showed no differences in hospital stay or complications compared to open surgery within an ERAS program, though open surgery had greater ERAS adherence (p=0.046).
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