The concept of enhanced recovery after surgery (ERAS) has been established in adult surgery since the 1990s, starting with Kehlet’s studies on colorectal surgery. ERAS is based on the premise that patient postoperative outcome can be improved through the modulation of the physiological response to surgical stress. This multimodal approach begins in the preoperative period and continues both intraoperatively and postoperatively in the form of an overall rehabilitation plan. Since then, the majority of adult surgical specialties have set up ERAS guidelines. Nevertheless, the scientific literature on pediatric ERAS has not followed the same dynamic. The question of how to go further in pediatric ERAS therefore should be considered. It is likely that part of the answer lies in the peculiarities of pediatrics. To enable the development of an ambitious pediatric ERAS, a collaborative and multidisciplinary effort involving clinicians, parents and their children must be implemented. ERAS is a multidisciplinary approach to patient management in the perioperative period aimed at the rapid recovery ad integrum of the patient’s functional condition. Initially described for colorectal surgery,1 the benefits of ERAS are now well demonstrated in several surgical specialties for adults.2 The application of ERAS guidelines is the key to reduce hospital length of stay and cost through early mobilization, early feeding and early discharge.3 The implementation of ERAS in adults is a success, but this is not yet the case in pediatric surgery. The existing literature on pediatric ERAS is limited. Only five studies were included in a recent literature review.4 Among those studies, only 5.6 rehabilitation elements against 23.8 in the adult papers were found in the rehabilitation protocols. Kehlet insisted on the fact that all patients should be included in ERAS pathway.5 However, most pediatric ERAS studies have focused on healthy patient populations.6 …

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促进儿童康复：我们如何才能走得更远？

自 1990 年代以来，从 Kehlet 对结直肠手术的研究开始，加速康复外科 (ERAS) 的概念已在成人手术中确立。ERAS 的前提是可以通过调节对手术压力的生理反应来改善患者的术后结果。这种多模式方法从术前开始，并以整体康复计划的形式在术中和术后继续进行。从那时起，大多数成人外科专科都制定了 ERAS 指南。然而，关于儿科 ERAS 的科学文献并没有遵循同样的动态。因此，应该考虑如何在儿科 ERAS 中走得更远。部分答案可能在于儿科的特殊性。为了实现雄心勃勃的儿科 ERAS 的开发，必须实施涉及临床医生、父母及其子女的协作和多学科努力。ERAS 是围手术期患者管理的多学科方法，旨在快速恢复患者的功能状况。ERAS 最初是针对结直肠手术描述的，1 现在在一些成人外科专业中得到了很好的证明。2 ERAS 指南的应用是通过早期活动、早期进食和早期出院来减少住院时间和费用的关键。3 ERAS 在成人中的实施是成功的，但在儿科手术中还不是这样。关于儿科 ERAS 的现有文献是有限的。最近的文献综述中仅包含五项研究。4 在这些研究中，只有 5.6 个康复要素出现在康复方案中，而成人论文中有 23.8 个。Kehlet 坚持认为所有患者都应纳入 ERAS 途径。5 然而，大多数儿科 ERAS 研究都侧重于健康患者群体。6 …