ERAS Protocol for Pediatric Laparoscopic Cholecystectomy Promotes Safe and Early Discharge
Author / Expert
Andrew Yeh, Gabriella Butler, Stephen Strotmeyer, Kelly Austin, Mihaela Visoiu, Franklyn Cladis, Marcus Malek
Topic overview
Abstract
Purpose
Elective laparoscopic cholecystectomy (LC) pediatric patients in our institution have historically been admitted for an overnight hospital stay (OHS). The purpose of this study was to implement an ERAS protocol for elective LC in pediatric patients to promote same-day discharge (SDD) while maintaining excellent outcomes.
Methods
An ERAS protocol for elective LC was implemented encompassing pre-, peri-, and postoperative management. A retrospective review of prospectively collected data from patients before (BI) and after implementation (AI) of the protocol was performed.
Results
A total of 250 patients (BI 105, AI 145) were included in the study. The AI group had significantly higher rate of SDD compared to BI (77.2% vs. 1.9%, p
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