Abstract: Objective: To evaluate the effect of enhanced recovery after surgery (ERAS) protocol on postoperative recovery quality of children with Nuss surgery. Methods: 120 patients undergoing elective Nuss surgery in Beijing Children's Hospital were enrolled in the study. The patients were 6-18 years old and were divided into two groups according to the operation date. There were 60 cases in each group. The perioperative management was performed using the traditional procedure (C group) and the ERAS strategy (E group), and the postoperative recovery quality scale (QoR-15) was filled by the child or its accompany for three consecutive days. Results: There were 4 uncompleted cases in E group and 1 case in the C group. The total score of QoR-15 in group E was significantly higher than that in group C at D2 and D3 postoperatively (P<0.05). The score of group A in group E was significantly higher than that of group C at D1/2/3 (P<0.05). At D1, the score of walking/comfort and self-control in group E was significantly higher than that of group C (P<0.05). At D2, the scores of good appetite / relaxation / self toileting / being walking / comfortable and self-control were significantly higher in group E than in group C (P<0.05); The scores of group E were significantly higher than those of group C in terms of feeling relaxed/self toilet/comfortable and self-control (P<0.05). Conclusion: ERAS strategy can improve postoperative recovery quality of children with Nuss surgery.

Key words: Key words: Enhanced Recovery After Surgery (ERAS), pectus excavatum, children, postoperative recovery quality scale