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Promoting application of enhanced recovery after surgery protocols during perioperative localized abdominal and thoracic neuroblastomas

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Topic overview

This retrospective study demonstrates that enhanced recovery after surgery (ERAS) protocols significantly improve outcomes in children undergoing neuroblastoma resection, reducing postoperative hospital stay from 11 to 8 days and decreasing pain scores. ERAS implementation also improved early mobilization, nutritional recovery, and reduced healthcare costs without increasing complications.

Key takeaways

  • ERAS protocols reduced postoperative length of stay from 11 to 8 days in pediatric neuroblastoma resection (P<0.001).
  • Pain scores (FLACC) were significantly lower on postoperative days 1-5 with ERAS versus traditional care (all P<0.01).
  • ERAS patients achieved earlier ambulation (1 vs 3 days), faster return to enteral nutrition (5 vs 7 days), both P<0.01.
  • Lower CRP on POD1 and higher prealbumin on POD3 suggest reduced inflammation and better nutritional status with ERAS.
  • ERAS reduced hospitalization costs by ~5,000 Yuan without increasing complications or 30-day readmission rates.

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How to cite: GlobalCastMD. Promoting application of enhanced recovery after surgery protocols during perioperative localized abdominal and thoracic neuroblastomas. GlobalCastMD Medical Library. 2024-11-02. https://dev.library.globalcastmd.com/article/9374?via_space=staycurrentmd

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