The objective of the study was to evaluate the implementation of an ERAS programme for deep pelvic endometriosis (DPE) surgery in terms of length of stay (LOS), postoperative complications (POC) and rehospitalisation rate. This was a comparative retrospective monocentric study in the Gynaecologic Department of the La Conception Hospital in Marseille, France. We compared a ‘conventional’ group, with classic perioperative management corresponding to patients undergoing DPE surgery between April 8, 2014 and January 23, 2018, and an ‘ERAS’ group after setting up the ERAS protocol from February 6, 2018 to March 6, 2020. A total of 101 patients with DPE surgery were included, with 39 in the conventional group and 53 in the ERAS group. The LOS decreased by 1.91 days ( < 0.001). During the 45 postoperative days, no difference was found in rehospitalised rate ( = 1). The POC rate was 15/39 (38.5 %) in the conventional group and 12/53 (22.6 %) in the ERAS group ( = 0.1). The implementation of an ERAS programme for DPE surgery is an effective strategy because it can reduce the LOS without increasing the POC rate.

中文翻译：

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加速康复外科（ERAS）治疗深部浸润子宫内膜异位症手术：法国中心的经验

该研究的目的是从住院时间 (LOS)、术后并发症 (POC) 和再住院率方面评估 ERAS 计划在深盆腔子宫内膜异位症 (DPE) 手术中的实施情况。这是在法国马赛 La Conception 医院妇科进行的一项比较回顾性单中心研究。我们比较了“传统”组（对应于2014年4月8日至2018年1月23日期间接受DPE手术的患者的经典围手术期管理）和2018年2月6日至3月6日制定ERAS方案后的“ERAS”组。 2020年，共纳入101例接受DPE手术的患者，其中常规组39例，ERAS组53例。 LOS 减少了 1.91 天 (< 0.001)。术后 45 天，再住院率没有差异 (= 1)。常规组的 POC 率为 15/39 (38.5%)，ERAS 组的 POC 率为 12/53 (22.6%) (= 0.1)。对DPE手术实施ERAS计划是一种有效的策略，因为它可以在不增加POC率的情况下减少LOS。