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Ratti et al.                                                                                                                                                               Fast-track management in patients with HCC

           the  second  day  after  surgery  unless  specifically   Dutson E, Gamblin C, D’Angelica M, Nagorney D, Testa G, Labow D,
           required  by clinical  conditions  of the patient. In the   Manas D, Poon RT, Nelson H, Martin R, Clary B, Pinson WC, Martinie
           setting of patients with liver impairment,  total body   J, Vauthey JN, Goldstein R, Roayaie S, Barlet D, Espat J, Abecassis M,
                                                                  Rees M, Fong Y, McMasters KM, Broelsch C, Busuttil R, Belghiti J,
           water expansion  and renal sodium retention may        Strasberg S, Chari RS; World Consensus Conference on Laparoscopic
           lead to excessive loss of water across the splanchnic   Surgery. The international position on laparoscopic liver surgery: the
           capillaries  into the peritoneum,  causing  expansion   Louisville Statement, 2008. Ann Surg 2009;250:825-30.
           of extravascular compartment, worsening  ascites   3.   Pulitanò C, Aldrighetti L. The current role of laparoscopic liver resection
           decompensation  and contributing  to hyperdynamic      for the treatment of liver tumors. Nat Clin Pract Gastroenterol Hepatol
           circulatory syndrome.  In patients with clinically     2008;5:648-54.
                               [24]
           evident ascites and without drainage, paracentesis   4.   Kehlet H,  Wilmore DW. Multimodal strategies to improve surgical
           is usually not  recommended, while administration   5.   outcome. Am J Surg 2002;183:630-41.
                                                                  Stoot JH, van Dam RM, Busch OR, van Hillegersberg R, De Boer M,
           of albumin and diuretics has to be preferred (unless   Olde Damink SW, Bemelmans MH, Dejong CH; Enhanced Recovery
           ascites infection is suspected). [25]                  After Surgery (ERAS) Group. The effect of a multimodal fast-track
                                                                  programme on outcomes in laparoscopic liver surgery: a multicentre
           The task of faster postoperative  functional recovery   pilot study. HPB (Oxford) 2009;11:140-4.
           could be addressed even  thanks to  a better       6.   Chun J, Bafford AC. History and background of quality measurement.
           management  of postoperative  pain allowing  earlier   Clini Colon Rectal Surg 2014;27:5-9.
           mobilization  and  return  to a good  quality  of life. In   7.   van Dam RM, Hendry PO, Coolsen MM, Bemelmans MH, Lassen K,
           patients with cirrhosis and alterations of  coagulation   Revhaug A, Fearon KC, Garden OJ, Dejong CH; Enhanced Recovery
                                                                  After Surgery (ERAS) Group. Initial experience with a multimodal
           profile  and  platelet  count,  placement  of  epidural   enhanced recovery programme in patients undergoing liver resection.
           catheter (recommended in fast track programs) should   Br J Surg 2008;95:969-75.
           be avoided,  right paravertebral thoracic block  and   8.   Wong-Lun-Hing EM, van Dam RM, Heijnen LA, Busch OR, Terkivatan
                      [26]
                                                     [27]
           spinal block   are available  alternatives, allowing to   T, van Hillegersberg R, Slooter GD, Klaase J, de  Wilt JH, Bosscha
                      [28]
           avoid side effects of oppioids.                        K, Neumann UP,  Topal B,  Aldrighetti LA, Dejong CH. Is current
                                                                  perioperative prectice in hepatic surgery based on enhaced recovery after
           In  conclusion,  in  patients  who  can’t  benefit  from   surgery (ERAS) principles? World J Surg 2014;38:1127-40.
           minimally-invasive  approach  because of disease   9.   Aldrighetti L, Guzzetti E, Pulitanò C, Cipriani F, Catena M, Paganelli
                                                                  M, Ferla G. Case-matched analysis of totally laparoscopic versus open
           characteristics (i.e. tumor location  within  the liver),   liver resection for HCC: short and middle term results. J Surg Oncol
           ERAS  management seems to  be associated with          2010;102:82-6.
           an improved postoperative functional recovery and   10.  Wakabayashi G, Cherqui D, Geller DA, Buell JF, Kaneko H, Han HS,
           postoperative  outcomes comparable  to those of the    Asbun H, OʼRourke N, Tanabe M, Koffron AJ, Tsung A, Soubrane O,
           minimally-invasive  approach. So, any  further effort   Machado MA,Gayet B, Troisi RI, Pessaux P, Van Dam RM, Scatton O,
           to optimize and implement  fast-track programs  in     Abu Hilal M, Belli G, Kwon CH, Edwin B, Choi GH, Aldrighetti LA,
           the daily clinical practice for these patients has to be   Cai X, Cleary S, Chen KH, Schön MR, Sugioka A, Tang CN, Herman
                                                                  P, Pekolj J, Chen XP, Dagher I, Jarnagin W, Yamamoto M, Strong R,
           strongly recommended.                                  Jagannath P, Lo CM, Clavien PA, Kokudo N, Barkun J, Strasberg SM.
                                                                  Recommendations for laparoscopic liver resection: a report from the
           Financial support and sponsorship                      second international consensus conference held in morioka. Ann Surg
           None.                                                  2015;261:619-29.
                                                              11.  Zhou  YM, Shao  WY, Zhao  YF, Xu DH, Li B. Meta-analysis of
           Conflicts of interest                                  laparoscopic versus open resection for hepatocellular carcinoma. Dig
           There are no conflicts of interest.                    Dis Sci 2011; 56(7):1937-43.
                                                              12.  Yin Z, Fan X, Ye H, Yin D, Wang J. Short- and long-term outcomes after
                                                                  laparoscopic and open hepatectomy for hepatocellular carcinoma: a global
           Patient consent                                        systematic review and meta-analysis. Ann Surg Oncol 2013;20:1203-15.
           Consents from subjects were waived.                13.  Aldrighetti L, Pulitanò C, Arru M, Catena M, Guzzetti E, Casati M,
                                                                  Ferla G. Ultrasonic-mediated laparoscopic liver transection. Am J Surg
           Ethics approval                                        2008;195:270-2.
           Approved by the internal review board of IRCCS San   14.  Dindo  D,  Demartines  N,  Clavien  PA.  Classification  of  surgical
           Raffaele Hospital.                                     complications: a new proposal with evaluation in a cohort of 6,336
                                                                  patients and results of a survey. Ann Surg 2004;240:205-13.
                                                              15.  Liu CL, Fan ST, Lo CM, Wong Y, Ng IO, Lam CM, Poon RT, Wong
           REFERENCES                                             J. Adbominal drainage after hepatic resections is contraindicated in
                                                                  patients with chronic liver disease. Ann Surg 2004; 239:194-201.
           1.   Nguyen KT, Gamblin TC, Geller DA. World review of laparoscopic   16.  Petrowsky H, Demartines N, Rousson V, Clavien PA. Evidence based
               liver resection-2,804 patients. Ann Surg 2009:250:831-41.  value of prophylactic drainage in gastrointestinal surgery. A systematic
           2.   Buell JF, Cherqui D, Geller DA, O’Rourke N, Iannitti D, Dagher I,   review and meta-analyses. Ann Surg 2004;240:1074-85.
               Koffron AJ, Thomas M, Gayet B, Han HS, Wakabayashi G, Belli G,   17.  Fong Y, Brennan MF, Brown K, Heffernan N, Blumgart LH. Drainage is
               Kaneko H, Ker CG, Scatton O, Laurent A, Abdalla EK, Chaudhury P,   unnecessary after elective hepatic resection. Am J Surg 1996;171:158-62.
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