APPLICATION OF ENHANCED RECOVERY AFTER SURGERY IN PERIOPERATIVE PERIOD OF DA VINCI ROBOT-ASSISTED ABDOMINAL SURGERY FOR CHILDREN

Qihong Wang^#, Xiaowen Liu^#, Qian Peng, Yajuan Chen, Xiaoqiong He^*, Xinwen Liu^*

Department of General Surgery, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430016, PR China

^#These authors are co-first authors

^*These authors are co-corresponding authors

Introduction: To evaluate the effect of enhanced recovery after surgery in perioperative period of Da Vinci robot-assisted abdominal surgery for children. 

Methods: Eighty-eight children who underwent Da Vinci robot-assisted abdominal surgery in a specialized Grade III Level A children’s hospital from October 2020 to July 2021 were selected for prospective cohort study. They were divided into the control group and the ERAS group by admission time. The control group received routine perioperative management, while the ERAS group received enhanced recovery after surgery plus conventional perioperative management. The preoperative crying rate, postoperative recovery, complication rate, nursing satisfaction and postoperative pain were compared between the two groups. 

Results: The preoperative crying rate, postoperative recovery and nursing satisfaction in the ERAS group were higher than those in the control group, while the postoperative pain in the ERAS group was significantly lower than that in the control group (P<0.05). There was no significant difference in the incidence of postoperative complications (P>0.05). 

Conclusion: When being applied in children undergoing Da Vinci robot-assisted abdominal surgery, enhanced recovery after surgery can effectively lower the preoperative crying rate, relieve perioperative stress, shorten the length of stay and improve nursing satisfaction, without increasing the incidence of postoperative complications.