Enhanced Recovery After Liver Surgery: Does Compliance Impact Survival? - PubMed
4 hours ago
- #Colorectal Liver Metastases
- #Liver Surgery Survival
- #Enhanced Recovery Programs
- The study evaluated the impact of Enhanced Recovery Program (ERP) compliance on survival after liver surgery in a multicenter prospective cohort of 1,860 patients.
- High ERP compliance (≥70% of 21 items) did not significantly improve 12-month overall survival compared to low compliance before or after propensity score matching.
- Only in the subgroup of patients with colorectal liver metastases was high ERP compliance associated with improved survival after matching, suggesting a benefit for specific cancer types.
- Long-term survival was independently influenced by factors like metastatic disease, prolonged surgery, and intraoperative hypotension, but not directly by ERP compliance.
- The study concludes that while ERP compliance reduces perioperative complications, it is not independently linked to 12-month or long-term survival outcomes in liver surgery patients.