Table 2.
Numbers and percentages of Korean hepato-biliary-pancreatic surgeons following recommendations of enhanced recovery after surgery (ERAS) items in pancreaticoduodenectomy and hepatectomy
| Item | No. (%) |
|---|---|
| Pancreaticoduodenectomy (n=113) | |
| Preoperative counselling | 19 (16.8) |
| Perioperative biliary drainage | 15 (13.3) |
| Preoperative smoking and alcohol consumption | 25 (22.1) |
| Preoperative nutrition | 41 (36.3) |
| Perioperative oral immunonutrition | 6 (5.3) |
| Oral bowel preparation | 50 (44.2) |
| Preoperative fasting | 13 (11.5) |
| Preanaestheticmedication | 51 (45.1) |
| Anti-thrombotic prophylaxis | 3 (2.7) |
| Antimicrobial prophylaxis and skin preparation | 106 (93.8) |
| Epidural analgesia | 13 (11.5) |
| Wound catheters and transversus abdominis plane block | 17 (15.0) |
| Preventing postoperative nausea and vomiting | 25 (22.1) |
| Avoiding hypothermia | 87 (77.0) |
| Postoperative glycemic control | 24 (21.2) |
| Nasogastric intubation | 20 (17.7) |
| Fluid balance | 8 (7.1) |
| Perianastomotic drain | 15 (13.3) |
| Somatostatin analogues | 36 (31.9) |
| Urinary drainage | 96 (85.0) |
| Stimulation of bowel movement | 4 (3.5) |
| Early and scheduled mobilization | 60 (53.1) |
| Hepatectomy (n=107) | |
| Preoperative counselling | 17 (15.9) |
| Preoperative nutrition | 13 (12.1) |
| Perioperative oral immunonutrition | No specific recommendation |
| Preoperative fasting | 6 (5.6) |
| Oral bowel preparation | 71 (66.4) |
| Preanesthetic medication | 44 (41.1) |
| Anti-thrombotic prophylaxis | 10 (9.3) |
| Perioperative steroids administration | No specific recommendation |
| Antimicrobial prophylaxis and skin preparation | 22 (20.6) |
| Minimally invasive approach | 27 (25.2) |
| Nasogastric intubation | 46 (43.0) |
| Prophylactic abdominal drainage | No specific recommendation |
| Preventing intraoperative hypothermia | 81 (75.7) |
| Postoperative nutrition and early oral intake | 29 (27.1) |
| Preventing delayed gastric emptying | 9 (8.4) |
| Stimulation of bowel movement | No specific recommendation |
| Early mobilization | 52 (48.6) |
| Analgesia | 8 (7.5) |
| Preventing postoperative nausea and vomiting | 37 (34.6) |
| Fluid management | 87 (81.3) |