Enhanced Recovery After Surgery
Publication/Presentation Date
6-1-2023
Abstract
Advances in perioperative care have increased the frequency of surgical intervention performed on the very elderly (≥80 years). This study aims to investigate the impact of Enhanced Recovery After Surgery (ERAS) on outcomes for octogenarians after major hepatopancreatobiliary (HPB) surgery. Patients ≥80 years old in a single HPB ERAS program (September 2015-July 2018) were prospectively tracked in the ERAS Interactive Audit System (EIAS). Postoperative length of stay (LOS) as well as 30-day major complications, readmissions, and mortality were compared to a pre-ERAS octogenarian control. Since ERAS implementation, octogenarians comprised 7.3% (27 of 370) of patients who underwent pancreaticoduodenectomy (n=17), distal pancreatectomy (n=7), or hepatectomy (n=3). Thirty-day readmissions decreased after ERAS implementation (50% to 15%, P=.037). Thirty-day major complications, mortality, and LOS were similar with 64% median protocol compliance. ERAS for octogenarians in HPB surgery is safe and may contribute to more sustainable recovery resulting in reduced readmissions.
Volume
89
Issue
6
First Page
2841
Last Page
2843
ISSN
1555-9823
Published In/Presented At
Robinson, J. N., Davis, J. M. K., Pickens, R. C., Cochran, A. R., King, L., Salibi, P., Iannitti, D. A., Martinie, J. B., Baker, E. H., Ocuin, L. M., & Vrochides, D. (2023). Enhanced Recovery After Surgery® in Octogenarians Undergoing Hepatopancreatobiliary Surgery. The American surgeon, 89(6), 2841–2843. https://doi.org/10.1177/00031348211054063
Disciplines
Medicine and Health Sciences
PubMedID
34866406
Department(s)
Department of Surgery, Lehigh Valley Topper Cancer Institute
Document Type
Article