High compliance with enhanced recovery programs does not significantly improve survival after liver surgery.
- Among 1,860 patients, only 24.4% achieved high compliance.
- Twelve-month overall survival rates were similar: 96% for high compliance vs. 92% for low compliance (p = 0.11).
- Long-term mortality risks included metastatic disease and prolonged operative times.
Only patients with colorectal liver metastases showed improved survival linked to high compliance, emphasizing the need for careful patient selection.
- Compliance did reduce perioperative complications, but not survival outcomes.
Journal Article by Mariatti M, Venza F (…) Brustia R et 22 al. in Ann Surg Oncol
© 2026. The Author(s).