Table 1.
Major elements and milestones of the risk-stratified pancreatectomy clinical pathways.
Low-risk PD | High-risk PD | DP | |
---|---|---|---|
Regional anesthesia | + | + | + |
POPF prophylaxis with pasireotide | − | + | + |
NG tube removal | POD#2 | POD#3 | POD#0 |
Urinary catheter removal | POD#2 | POD#2 | POD#2 |
Drain removal* | POD#3 | POD#3 | POD#3 |
CLD | POD#3 | POD#4 | POD#1 |
Lovenox upon discharge | + | + | + |
Anticipated dischargeˆ | POD#6 | POD#8 | POD#5 |
RSPCP = risk-stratified pancreatectomy clinical pathways; NG = nasogastric; CLD = clear liquid diet; SLIV = saline lock IV;
if the operative drain fluid amylase level measured on postoperative day 3 is <3 times the upper limit of serum amylase;
discharge with plans for a short-term follow-up.