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Fast-Track Recovery After Major Liver and Pancreatic Resection From the Nursing Point of View

Kapritsou, Maria PhD, MSc, BSN, RN; Korkolis, Dimitrios P. PhD, MD; Giannakopoulou, Margaret PhD, RN; Kaklamanos, Ioannis PhD, MD; Elefsiniotis, Ioannis S. PhD, RN; Mariolis-Sapsakos, Theodoros PhD, MD; Birbas, Konstantinos PhD, MD; Konstantinou, Evangelos A. PhD, RN

doi: 10.1097/SGA.0000000000000049
Features

Postoperative fast-track recovery protocols combine various methods to support immediate care of patients who undergo major surgery. These protocols include control of postoperative pain and early beginning of oral diet and mobilization. The combination of these approaches may reduce the rate of postoperative complications and facilitate hospital discharge. The aim of this study was to evaluate progress and parameters of fast-track recovery after major liver and pancreatic resection. A descriptive bibliographical review from 2001 to 2012 via electronic databases such as MEDLINE, PubMed, and Google Scholar was undertaken. Articles that focused on a fast-track protocol were studied. Reports focusing on the implementation of a fast-track protocol in the postoperative recovery of patients after major hepatectomy or pancreatectomy were selected. Fast-track protocols may be applicable to patients recovering after major liver or pancreatic resection. Future research should be focused on particular parameters of the fast-track protocol separately.

Maria Kapritsou, PhD, MSc, BSN, RN, is Registered Nurse, National and Kapodistrian University of Athens, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, Greece.

Dimitrios P. Korkolis, PhD, MD, is Consultant Surgeon, Hellenic Anticancer Institute, Saint Savvas Hospital, Athens, Greece.

Margaret Giannakopoulou, PhD, RN, is Associate Professor, National and Kapodistrian University of Athens, Athens, Greece.

Ioannis Kaklamanos, PhD, MD, is Associate Professor, National and Kapodistrian University of Athens, Athens, Greece.

Ioannis S. Elefsiniotis, PhD, RN, is Associate Professor, University Department of Internal Medicine–Hepatology Unit, Elena Venizelou Hospital, Athens, Greece.

Theodoros Mariolis-Sapsakos, PhD, MD, is Lecturer, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece.

Konstantinos Birbas, PhD, MD, Associate Professor, National and Kapodistrian University of Athens, Athens, Greece.

Evangelos A. Konstantinou, PhD, RN, is Associate Professor of Nursing Anesthesiology, National and Kapodistrian University of Athens, Athens, Greece.

Correspondence to: Maria Kapritsou, PhD, MSc, BSN, RN, Hellenic Anticancer Institute, Saint Savvas Hospital, National and Kapodistrian University of Athens, Athens, Greece (mkapritsou@yahoo.com).

The authors declare no conflict of interest.

Received July 25, 2012

Accepted December 11, 2012

© 2014 by the Society of Gastroenterology Nurses and Associates, Inc.