Impact of compliance with components of an ERAS pathway on the outcomes of anatomical VATS pulmonary resections

Abstract Objectives : Implementation of an Enhanced Recovery After Surgery (ERAS) program is associated with better postoperative outcomes. The aim of this study was to evaluate the impact of ERAS compliance (overall and to specific elements of the program) on them. Design : Retrospective analysis of prospectively-collected data. Setting : University hospital, monocentric. Participants : All adult (≥18 years old) patients undergoing Video-Assisted Thoracic Surgery (VATS) anatomical pulmonary resection. Interventions : ERAS-governed VATS anatomical pulmonary resection. Measurements and Main Results : Demographics, surgical characteristics and pre-, peri- and post-operative compliance with 16 elements of the ERAS program were assessed. Postoperative outcomes and length of stay were compared between low ( Conclusions : High ERAS compliance is associated with better postoperative outcomes in patients undergoing anatomical pulmonary VATS resections.