Enhanced recovery after surgery for liver resection surgery

Katie Wimble, Chris Jones


Enhanced recovery after surgery (ERAS) programmes were first described in colorectal surgery in the 1990s and since then the core principles have been utilised in many major surgical groups with adaptations being tailored to the specific surgery. The overall aim is to reduce length of stay and complications whilst improving patient satisfaction and long-term outcomes. Liver surgery is high risk and there are important considerations that need to be appreciated to guide the perioperative care of these patients. ERAS for liver surgery has been shown to be safe and efficacious when compared to traditional management and ongoing research is now focusing on improving outcomes further through optimal analgesia, nutrition and perioperative care.