Fast-track protocols in laparoscopic liver surgery: Applicability and correlation with difficulty scoring systems.

Abstract

Few series have reported the utility of fast-track protocols (FTP) in minimally invasive liver surgery. To report the applicability of FTP in minimally invasive liver surgery and to correlate with difficulty scores. The series of patients undergoing minimally invasive liver surgery from 2014 was analyzed. Iwate, Southampton and Gayet's scores were compared as predictors of FTP adherence. Accomplishment of FTP was considered within 24-h, 48-h and 72-h. Multivariate models were performed to define discharge From 160 cases, 78 were candidates for FTP, of which 22 (28.2%), 19 (24.4%) and 14 (17.9%) were discharged in The development of aggressive FTP is feasible and < 24-h stay can be achieved even in moderate and advanced complexity cases. Difficulty scores, including body mass index value, may be useful to predict which cases may adhere to these protocols.