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Enhanced Recovery After Surgery for Radical Cystectomy
Avinash Chenam1, Kevin G Chan2
1Department of Surgery, Division of Urology and Urologic Oncology, City of Hope National Medical Center, 1500 E. Duarte Rd, MOB L002H, Duarte, CA, 91010, USA.
Cancer Treatment and Research
|September 1, 2018
Summary
Radical cystectomy (RC) has high morbidity. Enhanced recovery after surgery (ERAS) protocols optimize perioperative care to reduce complications and hospital stay for RC patients.
Area of Science:
- Urology
- Surgical Oncology
- Anesthesiology
Background:
- Radical cystectomy (RC) is a complex procedure associated with significant morbidity and prolonged hospital stays.
- Optimizing perioperative care is crucial for improving patient outcomes after RC.
Purpose of the Study:
- To review the preoperative, intraoperative, and postoperative elements of implementing an Enhanced Recovery After Surgery (ERAS) protocol for radical cystectomy.
- To identify strategies for accelerating postoperative convalescence and reducing variation in perioperative care for RC patients.
Main Methods:
- Review of existing scientific evidence and best practices for ERAS protocols in the context of RC.
- Analysis of multimodal and interdisciplinary approaches to perioperative management.
Main Results:
- ERAS protocols aim to modify factors contributing to RC morbidity.
- Implementation involves optimizing patient care before, during, and after surgery.
Conclusions:
- Enhanced Recovery After Surgery (ERAS) protocols offer a structured approach to improve outcomes for radical cystectomy patients.
- Multimodal strategies within ERAS can help reduce morbidity and shorten hospital stays following RC.
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