Key result
A literature analysis identified the necessary preoperative, intra-operative, and postoperative components to develop an Enhanced Recovery After Surgery (ERAS) pathway for pancreas transplantation.
Why the study?
Despite wide adoption in many surgical fields, ERAS protocols have yet to be adopted in pancreatic transplantation, a high-risk surgery with often prolonged length of stay and high complication rates.
What are the necessary components of an ERAS protocol for pancreatic transplantation?
What are the necessary components of an ERAS protocol for pancreatic transplantation?
This narrative review outlines the potential components needed to establish an ERAS protocol for pancreatic transplantation, aiming to reduce complications and length of stay.
May guide ERAS protocol development in pancreas transplantation; leaves open prospective validation before clinical use.
Enhanced recovery after surgery (ERAS) initially started in the early 2000s as a series of protocols to improve the perioperative care of surgical patients. They aimed to increase patient satisfaction while reducing postoperative complications and postoperative length of stay. Despite these protocols being widely adopted in many fields of surgery, they are yet to be adopted in pancreatic transplantation: a high-risk surgery with often prolonged length of postoperative stay and high rate of complications. We have analysed the literature in pancreatic and transplantation surgery to identify the necessary preoperative, intra-operative and postoperative components of an ERAS pathway in pancreas transplantation.
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Elango et al. (2021) conducted a review in Pancreatic transplantation. Enhanced recovery after surgery (ERAS) protocol was evaluated. A literature analysis identified the necessary preoperative, intra-operative, and postoperative components to develop an Enhanced Recovery After Surgery (ERAS) pathway for pancreas transplantation.
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