Table 1.
Enhanced recovery elements in liver and pancreatic resectional surgery
Liver resection | Pancreatic resection | |
---|---|---|
Preoperatively | Information given to patient and patient education No premedication |
Information given to patient and patient education No premedication |
Day 0 | Normothermia during surgery Mechanical prophylaxis for deep vein thrombosis Intraoperative prophylactic antibiotics No nasogastric tube No routine abdominal drain |
Normothermia during surgery Mechanical prophylaxis for deep vein thrombosis Intraoperative prophylactic antibiotics Routine nasogastric and abdominal drain only for Whipple's operation |
Day 1 | Patient-controlled morphine analgesia Oral fluid Moving patient to chair |
Patient-controlled morphine analgesia Oral fluid Moving patient to chair |
Day 2 | Fluid diet Enhanced mobilisation Removal of urinary catheter |
Enhanced mobilisation |
Day 3 | Soft diet Removal of drain |
Removal of urinary catheter Removal of nasogastric tube if draining <300 mL |
Day 4 | Normal diet | Fluid diet Removal of drain |
Day 5 | Discharge if no fever, pain can be controlled with oral analgesics and patient has adequate mobilisation | Soft diet |
Day 6 | Normal diet | |
Day 7 | Discharge if no fever, pain can be controlled with oral analgesics and patient has adequate mobilisation |