The E-AHPBA—ESSO—Innsbruck consensus recommendations on peri- and postoperative management following liver resection

Maier, E; Stättner, S; Carrion-Alvarez, L; Di Martino, M; Olthof, P; Primavesi, F; Sochorova, D; van Laarhoven, S; Balakrishnan, A; Breitkopf, R; Buis, CI; Cipriani, F; Erdmann, J; Frampton, A; Fuks, D; Gilg, S; Gulla, A; Lancellotti, F; Margreiter, C; Melloul, E; Oberkofler, C; Petritsch, S; Raab, H; Rahbari, NN; Rappold, D; Reiberger, T; Ruzzenente, A; Sallinen, V; Schaefer, B; Schnitzbauer, AA; Serrablo, A; Soreide, K; Sparrelid, E; Starlinger, P; Stavrou, GA; Tinguely, P; Aldrighetti, L; Dasari, BVM; Donadon, M; Dopazo, C; Gruenberger, T; Jonas, E; Malik, H; Viganó, L; Siriwardena, AK; Maglione, M

doi:10.1093/bjs/znaf272

Perioperative medicine & outcomes

The E-AHPBA—ESSO—Innsbruck consensus recommendations on peri- and postoperative management following liver resection

Br J SurgPublished 30 Dec 2025Consensus guideline

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Methodological detailsmodified Delphi process with systematic review, 70% agreement threshold, SIGN methodology, patient representative review

Modified Delphi process with systematic review
70% agreement threshold
SIGN methodology
Patient representative review

Recommendations

As issued by the authors

Strong
Prehabilitation
Strong
Early postoperative mobilization
Strong
Avoidance of routine drain use

Reference

Issued by: E-AHPBA—ESSO—Innsbruck
Document: Consensus recommendations
Scope: Peri- and postoperative management after liver resection: thromboprophylaxis; perioperative antibiotics; prehabilitation/nutrition/mobilization; bile leak incl. bilioenteric anastomosis leaks; post-hepatectomy haemorrhage; Post-hepatectomy liver failure (PHLF). 32 statements, median evidence level 2; weakest evidence for perioperative thromboprophylaxis and PHLF management

Authors: Maier E, Stättner S, Carrion-Alvarez L, Di Martino M, Olthof P, Primavesi F, et al.
All 46 authors
Maier E, Stättner S, Carrion-Alvarez L, Di Martino M, Olthof P, Primavesi F, Sochorova D, van Laarhoven S, Balakrishnan A, Breitkopf R, Buis CI, Cipriani F, Erdmann J, Frampton A, Fuks D, Gilg S, Gulla A, Lancellotti F, Margreiter C, Melloul E, Oberkofler C, Petritsch S, Raab H, Rahbari NN, Rappold D, Reiberger T, Ruzzenente A, Sallinen V, Schaefer B, Schnitzbauer AA, Serrablo A, Soreide K, Sparrelid E, Starlinger P, Stavrou GA, Tinguely P, Aldrighetti L, Dasari BVM, Donadon M, Dopazo C, Gruenberger T, Jonas E, Malik H, Viganó L, Siriwardena AK, Maglione M
Journal: British Journal of Surgery
Published: 30 Dec 2025
DOI: 10.1093/bjs/znaf272
PubMed: 41467576

Topic: Perioperative medicine & outcomes

Original publication

The E-AHPBA—ESSO—Innsbruck consensus recommendations on peri- and postoperative management following liver resection. Br J Surg. Published 30 December 2025. doi:10.1093/bjs/znaf272

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