ERAS in VATS—do we really need to follow the trend?

Thoracic surgery specialty grows in a rapid consequence during the last two decades with a minimal invasive approach becoming more popular every day. The rationale was to improve the patient overall perioperative experience by improving his perception to pain and shorten the hospital stay this was defined as Improving patient outcomes by improving the quality of surgical care given (1). Trails to build up a fast track program Das-Neves-Pereira et al. publish their 5 years’ experience with a rehabilitation program in which they use preoperative, intraoperative and postoperative measures to reduce pain and shorten hospital stay (2). The overall results were in favor of the fast track program, but their cohort did not contain any patient underwent minimal invasive approach despite they advices it in the inclusion criteria. They explain it as the technique is of VATS is not well established yet.