Enhanced recovery after liver surgery in cirrhotic patients: a systematic review and meta-analysis

Table 2 ERAS Items among studies

ERAS Items according to 2016 Guidelines		Gonvers et al.	Lunel et al.	Qi et al.	Zheng et al.	Zhou et al.
Preoperative	Perioperative education	Yes	Yes	Yes	Yes	Yes
	Perioperative nutrition for risk patients	Yes	Yes	Yes	No	Yes
	Carbohydrate loading 2 h before surgery. Preoperative fasting does not exceed 6h for solid, and 2h for liquids	Yes	Yes	Yes	Yes	Yes
	No bowel preparation	Yes	Yes	Yes	Yes	Yes
	LAAD avoided	Yes	Yes	No	No	No
	LMWH 12 after hepatectomy	Yes	Yes	No	No	Yes
	Steroid used before operation	Yes	Yes	No	No	Yes
	Antibiotics used 1 h before hepatectomy	Yes	Yes	No	Yes	Yes
	PONV prophylaxis, and multimodal	Yes	Yes	No	Yes	Yes
Intraoperative	Mercedes incision avoided	Yes	Yes	No	No	No
	Minimal invasive approach when possible	Yes	Yes	Yes	Yes	Yes
	No systematic gastric tube	Yes	Yes	No	Yes	Yes
	Perioperative normothermia	Yes	Yes	No	Yes	Yes
	Drain as little as possible	Yes	Yes	Yes	No	Yes
	Omental flap to against delay gastric empty	Yes	Yes	No	No	No
	Goal-directed fluid therapy with low CVP	Yes	Yes	Yes	Yes	Yes
	Crystalloids are preferred over 0.9% saline and colloids	Yes	Yes	No	No	No
Post-operative	Early oral intake	Yes	Yes	Yes	Yes	Yes
	Glycemic control	Yes	Yes	No	Yes	No
	No stimulation of transit	Yes	Yes	No	No	No
	Early mobilization	Yes	Yes	Yes	Yes	Yes
	Multimodal analgesia	Yes	Yes	Yes	Yes	Yes

LAAD long-acting anxiolytic drugs should, LMHW Low molecular weight heparin, PONV Post-operative nausea and vomiting, CVP Central venous pressure

ISSN: 2047-0525