Enhancing recovery after minimally invasive surgery in children
Topic overview
Systematic review of 9 studies (531 pediatric patients) evaluating ERAS protocols after minimally invasive procedures. ERAS reduced hospital stay by 1.12 days and 30-day readmissions by 66% without increasing complications, supporting its safety and effectiveness in pediatric MIS.
Key takeaways
- ERAS protocols after pediatric MIS reduce hospital stay by ~1 day without increasing complication rates
- 30-day readmission rates drop significantly (4% vs 10%) when ERAS is applied to minimally invasive pediatric surgery
- Evidence for pediatric ERAS in MIS remains limited—only 9 studies (531 patients) met systematic review criteria
- ERAS has been successfully applied to laparoscopic GI/urologic procedures and thoracoscopy in children
- Current data supports ERAS as safe and effective for pediatric MIS, warranting broader implementation and further study
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