In:
Pleura and Peritoneum, Walter de Gruyter GmbH, Vol. 8, No. 1 ( 2023-04-03), p. 11-18
Kurzfassung:
Current recommendations regarding enhanced recovery programs (ERPs) after complete cytoreductive surgery (CCRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are based on a low level of evidence. The aim of this study is to evaluate the effect of implementing an adapted ERP for CCRS and HIPEC in a referral center. Methods We conducted a study with a prospective group of 44 patients (post-ERP group) who underwent CCRS with HIPEC between July 2016 and June 2018, the period during which ERP was implemented. This group was compared to a second retrospective group of 21 patients who underwent CCRS with HIPEC between June 2015 and June 2016, during which ERP was not yet implemented (pre-ERP group). Results The ERP compliance rate was 65% in the post-ERP group. The hospital length of stay (HLS) was shorter in the post-ERP group: 24.9 days (IQR 11–68, pre-ERP group) vs. 16.1 days (IQR 6–45, post-ERP group), as was the major morbidity rate (pre-ERP group=33.3% vs. post-ERP group=20.5%). The nasogastric tube, urinary catheter and abdominal drains were all retrieved faster in the post-ERP group. Conclusions The implementation of an adapted ERP after CCRS with HIPEC procedures reduces morbidity and shortens the HLS.
Materialart:
Online-Ressource
ISSN:
2364-768X
DOI:
10.1515/pp-2022-0133
Sprache:
Englisch
Verlag:
Walter de Gruyter GmbH
Publikationsdatum:
2023
ZDB Id:
2861909-2
