A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .
A systematic review of information format and timing before scheduled adult surgery for peri‐operative anxiety
We included 34 trials with 3742 participants , identified through 6 data base and supplementary search es ( to May 2017 ) : 29 were r and omised ; 4 were quasi‐r and omised and 1 was cluster‐r and omised . Disparate measurements and outcomes precluded meta‐analyses . Blinding was attempted in only 6 out of 34 ( 18 % ) trials . A multimedia format , alone or in combination with text or verbal formats , was studied in 20/34 ( 59 % ) trials : pre‐operative anxiety was unaffected in 10 out of 14 trials and reduced by the multimedia format in three ; postoperative anxiety was unaffected in four out of five trials in which formats were compared . Multimedia formats increased knowledge more than text , which in turn increased knowledge more than verbal formats . Other outcomes were unaffected by information format . The timing of information did not affect pre‐operative anxiety , postoperative pain or length of stay . In conclusion , the effects of pre‐operative information on peri‐operative anxiety and other outcomes were affected little by format or timing
A well-implemented ERAS protocol with good compliance is associated with a reduction in medical complications and length of hospital stay .
Enhanced recovery after surgery ( ERAS ) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications , costs and hospital stay .
This concept has been applied for pancreatic surgery since the first published guidelines in 2012 .
This study presents the up date d ERAS recommendations for  pancreatoduodenectomy ( PD )  based on the best available evidence and on expert consensus .