Basic & Clinical Medicine ›› 2018, Vol. 38 ›› Issue (10): 1480-1483.

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Update regarding anesthetic management of enhanced recovery after surgery in patients undergoing hepatectomy


  • Received:2017-09-05 Revised:2017-11-03 Online:2018-10-05 Published:2018-09-28

Abstract: Enhanced recovery after surgery (ERAS) is a series of evidence-based multimodal perioperative optimization program with multidisciplinary approach, to improve clinical outcomes and accelerate the recovery process. Hepatectomy is the preferred treatment for a variety of primary and secondary liver tumors. It is associated with a high rate of postoperative morbidity and mortality. The adoption of ERAS protocols in hepatectomy, including preoperative evaluation and preparation, anti-thrombotic prophylaxis, multimodal anesthesia and analgesia, and circulation and fluid management, has been shown to decrease postoperative complications, accelerate functional recovery, and shorten hospital length of stay.

Key words: Enhanced recovery after surgery, Hepatectomy, Preoperative evaluation and preparation, Anti-thrombotic prophylaxis, Multimodal anesthesia and analgesia, Circulation and fluid management

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