Enhanced Recovery After Surgery (ERAS) Improves Length of Stay and Decreases Complications After Resection of Abdominal Neuroblastoma
With Dr. Sophia Schermerhorn · StayCurrentMD
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Neuroblastoma 26 items
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What the experts said
A multi-center prospective study evaluated a structured ERAS pathway for children undergoing abdominal neuroblastoma resection
The ERAS protocol included 20 evidence-based elements spanning the entire perioperative process
ERAS protocol elements included preoperative counseling, hydrate loading, standardized multimodal analgesia, early feeding, and early mobilization
Length of stay decreased from about 7 days to 3.7 days
Post-operative opioid use dropped by over half
Patients resumed regular diets and ambulated about 3 days earlier
The proportion of patients experiencing any postoperative complication decreased by over 50%
Patients were cleared to resume adjuvant chemotherapy earlier at around 8 days as opposed to 10 days
A structured ERAS pathway meaningfully improves recovery even after complex neuroblastoma resections
ERAS represents a tangible opportunity to standardize perioperative care for neuroblastoma resection