A systematic review evaluated enhanced recovery after surgery (ERAS) protocols specifically for cirrhotic patients undergoing hepatectomy. From 3,123 screened articles, 81 were analyzed, revealing five perioperative items with moderate or high evidence levels. Key recommendations include preoperative ascites control, postoperative venous thromboembolism prophylaxis if coagulation tests are normal, avoidance of systematic drainage, preference for acetate-buffered solutions, and optimization of portal hypertension prior to surgery. Ongoing research is needed to refine these protocols.
Review by Joliat GR, Delabays C (…) Melloul E et 3 al. in World J Surg
© 2025 The Author(s). World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).