Standardization of perioperative care facilitates safe discharge by postoperative day five after pancreaticoduodenectomy.

ABSTRACT:

Introduction

Pancreaticoduodenectomy is a complex surgical procedure associated with high morbidity and prolonged length of stay. Enhanced recovery after surgery principles have reduced complications rate and length of stay for multiple types of operations. We hypothesized that implementation of a standardized perioperative care pathway would facilitate safe discharge by five days after pancreaticoduodenectomy.

Methods

We performed a retrospective cohort study of patients undergoing pancreaticoduodenectomy 18 months prior to and 18 months following implementation of a perioperative care pathway at a quaternary center performing high volume pancreatic surgery.

Results

A total of 145 patients underwent pancreaticoduodenectomy (mean age 63 ± 10 years, 52% female), 81 bef

SUBMITTER: Daniel SK 

PROVIDER: S-EPMC6310358 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature