Invited commentary on Moon, et al: An Enhanced Recovery After Surgery Protocol in Children Who Undergo Nephrectomy for Wilms Tumor Safely Shortens Hospital Stay

Since 1999, adult Enhanced Recovery After Surgery (ERAS) protocols have been improving outcomes for surgery patients. [1] By 2008, several early ERAS articles were written documenting improvements in the care of colorectal, bladder, pancreatic and liver cancer patients. [2–5] These adult oncology reports demonstrated a decrease in length of stay [LOS] without an increase in complications or return to the system [ROS]. Patients who received minimally invasive surgery [MIS] as part of the ERAS protocol demonstrated improvements in the quality of life [QOL] as they recovered more quickly.