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Letter to the Editor| Volume 172, ISSUE 3, P1034, September 2022

Enhanced recovery in liver transplantation: A value-based approach to complex surgical care, but compliance is missing

  • Raffaele Brustia
    Correspondence
    Corresponding author.
    Affiliations
    Assistance Publique-Hôpitaux de Paris, Department of Digestive and Hepato-pancreatic-biliary Surgery, AP-HP, Hôpital Henri-Mondor, France; INSERM U955, Team “Pathophysiology and Therapy of Chronic Viral Hepatitis and Related Cancers,” Créteil, France
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  • Daniele Sommacale
    Affiliations
    Paris Est Créteil University, UPEC, Créteil, France; INSERM U955, Team “Pathophysiology and Therapy of Chronic Viral Hepatitis and Related Cancers,” Créteil, France; Assistance Publique-Hôpitaux de Paris, Department of Digestive and Hepato-Pancreatic-Biliary Surgery, AP-HP, Hôpital Henri-Mondor, F-94010 Créteil, France
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  • Olivier Scatton
    Affiliations
    Service de chirurgie digestive et hépato-bilio-pancréatique, transplantation hépatique, Centre Hospitalo-Universitaire Pitié-Salpêtriere, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France. Centre de Recherche Saint-Antoine, Unité Mixte de Recherche S-938, Institute of Cardiometabolism and Nutrition, Sorbonne Université, Institut national de la santé et de la recherche médicale, Paris, France
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Published:May 24, 2022DOI:https://doi.org/10.1016/j.surg.2022.04.020
Enhanced recovery in liver transplantation: A value-based approach to complex surgical care, but compliance is missing
Previous ArticleA rare and late complication of cholelithiasis: Cholocystocolonic fistula
Next ArticleResponse to letter to the editor on: Enhanced recovery in liver transplantation: a value-based approach to complex surgical care
      We read with interest the nicely designed before–after study from Feizpour et al,
      • Feizpour C.A.
      • Patel M.S.
      • Syed M.A.
      • et al.
      Enhanced recovery in liver transplantation: a value-based approach to complex surgical care.
      Surgery. 2021; 170: 1830-1837
      which focused on the impact of an enhanced recovery pathway (ERP) on liver transplantation (LT). In 3 years, the introduction of a 19 elements–based ERP program was associated with a shorter hospital stay, reduced rate of postoperative complications, and lower median direct cost per case. Despite the recently published recommendations of the ERAS society on LT,
      • Brustia R.
      • Monsel A.
      • Skurzak S.
      • et al.
      Guidelines for perioperative care for liver transplantation: Enhanced Recovery After Surgery (ERAS) Society recommendations.
      Transplantation. 2022; 1: 552-561
      the introduction of such a multidisciplinary program in the complex care setting of LT is still new and remarkable, and the authors should be commended for their effort.
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      References

        • Feizpour C.A.
        • Patel M.S.
        • Syed M.A.
        • et al.
        Enhanced recovery in liver transplantation: a value-based approach to complex surgical care.
        Surgery. 2021; 170: 1830-1837
        View in Article
        • Brustia R.
        • Monsel A.
        • Skurzak S.
        • et al.
        Guidelines for perioperative care for liver transplantation: Enhanced Recovery After Surgery (ERAS) Society recommendations.
        Transplantation. 2022; 1: 552-561
        View in Article
        • Ljungqvist O.
        • De Boer H.D.
        • Balfour A.
        • et al.
        Opportunities and challenges for the next phase of enhanced recovery after surgery: a review.
        JAMA Surg. 2021; 156: 775-784
        View in Article
        • Gustafsson U.O.
        • Oppelstrup H.
        • Thorell A.
        • Nygren J.
        • Ljungqvist O.
        Adherence to the ERAS protocol is associated with 5-year survival after colorectal cancer surgery: a retrospective cohort study.
        World J Surg. 2016; 40
        View in Article
        • Elias K.M.
        • Stone A.B.
        • Mcginigle K.
        • et al.
        The reporting on ERAS compliance, outcomes, and elements research (RECOvER) checklist: a joint statement by the ERAS and ERAS USA societies on behalf of the ERAS Society and ERAS USA.
        World J Surg. 2019; 43: 1-8
        View in Article

      Article info

      Publication history

      Published online: May 24, 2022
      Accepted: April 9, 2022

      Identification

      DOI: https://doi.org/10.1016/j.surg.2022.04.020

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

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