The British journal of surgery
-
Data are lacking to support the cost-effectiveness of enhanced recovery pathways (ERP) for oesophagectomy. The aim of this study was to investigate the impact of an ERP on medical costs for oesophagectomy. ⋯ A multidisciplinary ERP for oesophagectomy was associated with cost savings, with no increase in morbidity or mortality.
-
Comparative Study
Planned versus unplanned portal vein resections during pancreaticoduodenectomy for adenocarcinoma.
The management of portal vein (PV) involvement by pancreatic adenocarcinoma during pancreaticoduodenectomy (PD) is controversial. The aim of this study was to compare the outcomes of unplanned and planned PV resections as part of PD. ⋯ Although planned PV resections for pancreatic adenocarcinoma were associated with higher rates of postoperative morbidity than unplanned resections, R0 resection rates were better.