Ji HB, Zhu WT, Wei Q, Wang XX, Wang HB, Chen QP. Impact of enhanced recovery after surgery programs on pancreatic surgery: A meta-analysis. World J Gastroenterol 2018; 24(15): 1666-1678 [PMID: 29686474 DOI: 10.3748/wjg.v24.i15.1666]
Corresponding Author of This Article
Qiang-Pu Chen, MS, professor, Chief, Department of Hepatobiliary Surgery, Clinical Nutrition Support Center, Affiliated Hospital of Binzhou Medical University, Clinical Nutrition and Metabolism Key Laboratory of Shandong Province, NO.661 of the 2nd Huanghe Road, Binzhou 256603, Shandong Province, China. drcqp_med@163.com.
Research Domain of This Article
Surgery
Article-Type of This Article
Meta-Analysis
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hai-Bin Ji, Wen-Tao Zhu, Qiang Wei, Xiao-Xiao Wang, Hai-Bin Wang, Department of Hepatobiliary Surgery, Affiliated Hospital of Binzhou Medical University, Binzhou 256603, Shandong Province, China
Qiang-Pu Chen, Department of Hepatobiliary Surgery, Clinical Nutrition Support Center, Affiliated Hospital of Binzhou Medical University; Clinical Nutrition and Metabolism Key Laboratory of Shandong Province, Binzhou 256603, Shandong Province, China
Author contributions: Zhu WT, Wei Q, and Chen QP designed the research; Ji HB, Wei Q, Wang XX, and Wang HB performed the research; Ji HB, Zhu WT, and Wei Q analyzed the data; Ji HB, Wang XX, and Chen QP wrote the paper.
Conflict-of-interest statement: The authors deny any conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Qiang-Pu Chen, MS, professor, Chief, Department of Hepatobiliary Surgery, Clinical Nutrition Support Center, Affiliated Hospital of Binzhou Medical University, Clinical Nutrition and Metabolism Key Laboratory of Shandong Province, NO.661 of the 2nd Huanghe Road, Binzhou 256603, Shandong Province, China. drcqp_med@163.com.
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Received: February 5, 2018 Peer-review started: February 6, 2018 First decision: February 24, 2018 Revised: March 8, 2018 Accepted: March 18, 2018 Article in press: March 18, 2018 Published online: April 21, 2018 Processing time: 72 Days and 19.5 Hours
Core Tip
Core tip: Enhanced recovery after surgery (ERAS) programs have been launched in a variety of surgical fields, including colorectal, orthopedics, urology, esophageal and gynecology, demonstrating favorable outcomes. Pancreatic surgery is considered a high-risk abdominal surgery, due to increased surgical trauma and high incidence of postoperative complications. In this meta-analysis we aimed to evaluate the impact of ERAS on complications of pancreatic surgery. The present study demonstrates that ERAS could reduce complication rates, especially of mild complications, delayed gastric emptying, abdominal infection and postoperative length of hospital stay, while not affecting the rates of postoperative pancreatic fistulas, reoperation, readmission and mortality during the perioperative period.
