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Despite improvements in surgical techniques, laparoscopy and anesthetic management, liver surgery remains a "heavy" surgery with a mortality of 3 to 5% and postoperative morbidity of 17 to 56%. Our work is a prospective randomized clinical trial. Conducted in the Surgery A department of Constantine University Hospital, over a 26-month period (April 2019 to June 2021). The main objective of this study was to evaluate the impact and interest of improved rehabilitation after surgery (RAAC) in hepatobiliary and pancreatic cancer surgery.
RAAC mitigates the stress response of surgery in the perioperative period and accelerates recovery. Hepatobiliary and pancreatic resection is a complex surgical procedure for which the enhanced recovery program has been shown to be safe and effective in terms of postoperative outcomes. RAAC programs have been shown to be associated with lower morbidity, shorter postoperative stay, and reduced costs, with no difference in mortality and readmission rates.
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