Enhanced Recovery After Surgery for Pediatric Lung Resection
Effects of a New Protocol
Bibliographic Data
| ID | 15714734 |
|---|---|
| Authors | Andrew Behrmann (0000-0001-5489-4335, University of Missouri), Elizabeth A Shumway (University of Missouri), B Campbell (0000-0001-9387-4580), Brooklyn Ondrea Campbell (0009-0007-8230-5711, University of Missouri), Cannon Dew (0009-0005-5180-0993, University of Missouri), Tara Kempker (0009-0006-3860-6819, University of Missouri), Jessica Peuterbaugh (University of Missouri), Venkataraman Ramachandran (0000-0001-8386-7918, University of Missouri), Yousef El‐Gohary (0000-0002-8655-0948, University of Missouri), Ahmed I Marwan (0000-0002-2194-791X, University of Missouri, corresponding author) |
| Year | 2025 |
| Volume | 12 |
| Issue | 12 |
| Pages | 1658-1658 |
| Publication date | 2025-12-07 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children12121658 |
| PMID | 41462798 |
| OpenAlex | W4417106110 |
| Language | EN |
| References cited | 38 |
Background : Prenatal detection of congenital lung lesions has increased with improved imaging. These abnormalities are safely treated with thoracoscopic lobectomy. We implemented an enhanced recovery after surgery (ERAS) protocol to standardize care and aim to evaluate its safety and efficacy compared to a non-ERAS cohort. Methods : A single-center retrospective chart review was conducted for twenty patients (n = 10 ERAS, n = 10 non-ERAS) undergoing thoracoscopic lobectomy from 2014-2024. Results : ERAS patients were generally younger at the time of surgery (ERAS: 4.25 ± 2.76 months vs. non-ERAS: 6.45 ± 6.78 months, p = 0.17). Postoperative length of stay was shorter in ERAS (1.77 ± 0.60 days) vs. non-ERAS patients (5.25 ± 3.79 days, p = 0.03) as well as chest tube duration (ERAS: 1.44 ± 0.73 days vs. non-ERAS 3.64 ± 2.38 days, p = 0.01). ERAS patients received lower amounts of opioid analgesics compared to non-ERAS ( p = 0.0046). Use of the ERAS protocol also decreased cost for the healthcare system compared to non-ERAS patients ( p = 0.0037). ERAS patients had no reintubations or prolonged air leaks (defined as >48 h), compared to four reintubations ( p = 0.04) and three prolonged air leaks ( p = 0.07) in the non-ERAS group. Crucially, there were no complications in the ERAS group, whereas five non-ERAS patients experienced Clavien-Dindo level III (one IIIa, two IIIb, two IVa) complications ( p = 0.02). Conclusions : Our preliminary findings demonstrate the successful integration of a novel ERAS protocol in pediatric thoracoscopic lobectomies and its efficacy in reducing standard post-operative recovery times without an increased rate of complications. Earlier discharge in the ERAS group constitutes less healthcare burden with improved resource utilization and less family, work, and social disruption
Chest tube · Lung · Protocol (science · Retrospective cohort study · Thoracoscopy · Video-assisted thoracoscopic surgery · Congenital Diaphragmatic Hernia Studies · Delphi Technique in Research · Enhanced Recovery After Surgery
| Highly cited | No |
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