{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T02:21:22Z","timestamp":1772763682392,"version":"3.50.1"},"reference-count":41,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: After the publication of the first recommendations of ERAS Society regarding colonic surgery, the proposal of surgical stress reduction, maintenance of physiological functions and optimized recovery was expanded to other surgical specialties, with minimal variations.  Aim: To analyze the implementation of ERAS protocols for liver surgery in a tertiary center.  Methods:  Fifty patients that underwent elective hepatic surgery were retrospectively evaluated, using medical records data, from June 2014 to August 2016. After September 2016, 35 patients were prospectively evaluated and managed in accordance with ERAS protocol.  Results: There was no difference in age, type of hepatectomy, laparoscopic surgery and postoperative complications between the groups. In ERAS group, it was observed a reduction in preoperative fasting and in the length of hospital stay by two days (p&lt; 0.001). Carbohydrate loading, j-shaped incision, early oral feeding, postoperative prevention of nausea and vomiting and early mobilization were also significantly related to ERAS group. Oral bowel preparation, pre-anesthetic medication, sub-costal incision, prophylactic nasogastric intubation and abdominal drainage were more common in control group.  Conclusion:  Implementation of ERAS protocol is feasible and beneficial for health institutions and patients, without increasing morbidity and mortality.<\/jats:p>","DOI":"10.1590\/0102-672020180001e1424","type":"journal-article","created":{"date-parts":[[2019,2,9]],"date-time":"2019-02-09T13:22:01Z","timestamp":1549718521000},"source":"Crossref","is-referenced-by-count":14,"title":["ENHANCED RECOVERY (ERAS) AFTER LIVER SURGERY:COMPARATIVE STUDY IN A BRAZILIAN TERCIARY CENTER"],"prefix":"10.1590","volume":"32","author":[{"given":"Uir\u00e1 Fernandes","family":"TEIXEIRA","sequence":"first","affiliation":[{"name":"Hepatobiliary and Pancreatic Surgical Division,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos Bertozzi","family":"GOLDONI","sequence":"additional","affiliation":[{"name":"Hepatobiliary and Pancreatic Surgical Division,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e1bio Luiz","family":"WAECHTER","sequence":"additional","affiliation":[{"name":"Hepatobiliary and Pancreatic Surgical Division,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Artur","family":"SAMPAIO","sequence":"additional","affiliation":[{"name":"Hepatobiliary and Pancreatic Surgical Division,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florentino Fernandes","family":"MENDES","sequence":"additional","affiliation":[{"name":"Federal University of Health Sciences of Porto Alegre,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Roberto Ott","family":"FONTES","sequence":"additional","affiliation":[{"name":"Hepatobiliary and Pancreatic Surgical Division,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1590\/0102-6720201600030012","article-title":"Immediate complications after 88 hepatectomies - brazilian consecutive series","volume":"29","author":"Amico EC","year":"2016","journal-title":"Arq Bras Cir Dig"},{"issue":"2","key":"ref2","first-page":"e78","article-title":"Enhancing surgical recovery in Central-West Brazil The ACERTO protocol results. e-SPEN, Eur J Clin","volume":"3","author":"Aguilar-Nascimento JE","year":"2008","journal-title":"Nutr"},{"issue":"6","key":"ref3","first-page":"633","article-title":"ACERTO guidelines of perioperative nutritional interventions in elective general surgery Rev. 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Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v32n1\/0102-6720-abcd-32-01-e1424.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T13:12:12Z","timestamp":1579871532000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202019000100311&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":41,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0102-67202019000100311"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020180001e1424","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e1424"}}