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A n n u a l E u r o p e a n C o n f e r e n c e o n
Gastroenterology
Euro Gastro 2018
J u n e 1 9 - 2 0 , 2 0 1 8
P a r i s , F r a n c e
Page 27
Journal of Clinical Gastroenterology and Hepatology
ISSN 2575-7733
L
iver resection is for removing of a part of the liver. Elective liver resection is
performed for benign and malignant liver tumors. Liver resection surgery for
metastasectomy is associated with higher morbidity and mortality. Colorectal
cancer is one of the three most common cancers. Nearly two thirds of patients
developmetastases during the illness. The patients whowould benefit from this
procedure should be selected appropriately. Aggressive liver resection would
serve for cure and improve long-termoutcome. All patients should be evaluated
for determining clinical status and hepatic metastasis before surgery. Liver
resection for colorectal metastasis is potentially curative, and is the standard
of care with a 5-year survival of nearly 35-40%. Laparoscopic hepatic resection
is associated with shorter length of stay in hospital, less postoperative pain,
better quality of life, and earlier recovery. Epidural anesthesia aims to reduce
systemic narcotic consumption and better postoperative bowel function with
preservation of pulmonary function. Post-operative morbidity can be predicted
with hemorrhagic complications during surgery and in the early postoperative
period. Biliary complications, intra-abdominal abscess, liver failure, wound
infection and sepsis can be detected in the later postoperative phase. The ERAS
mobility scale is used for assessing the difference between the preoperative
and postoperative mobility level. ERAS is performed in cooperation between
surgeons, anaesthetists, nurses and physical therapists.
Biography
Baris Cankaya is an Anesthesiologist with interest in
perioperative medicine and patient safety. He is responsible
for organising blue code management in his hospital. He has
certifications for adult, newborn, pediatric resuscitation from
Europen Resuscitation Council.
cankayabaris@hotmail.comEnhanced recovery after surgery (ERAS) for metastatic liver
operations
Baris Cankaya
Marmara University, Pendik Training Hospital, Turkey
Baris Cankaya, J Clin Gastroenterol Hepatol 2018, Volume: 2
DOI: 10.21767/2575-7733-C1-002