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Enhanced Recovery after Radical Cystectomy
Carmen Pozo1, Shahrokh F Shariat1,2,3,4, David D'Andrea1
1Department of Urology, Medical University of Vienna, Vienna, Austria.
Current Opinion in Urology
|April 6, 2019
Summary
Enhanced Recovery after Surgery (ERAS) programs can shorten hospital stays for radical cystectomy patients. While evidence is limited, ERAS protocols show potential for improved surgical outcomes without increasing complications.
Area of Science:
- Urology
- Surgical Oncology
- Perioperative Medicine
Background:
- Enhanced Recovery after Surgery (ERAS) programs standardize perioperative care to improve surgical outcomes.
- Protocols are often based on colorectal surgery data, with limited specific evidence for radical cystectomy.
- Variability exists in ERAS protocol components across institutions and countries.
Purpose of the Study:
- To review components of current ERAS protocols for radical cystectomy.
- To discuss outcomes reported after ERAS implementation in this patient group.
Main Methods:
- Literature review of existing ERAS protocols for radical cystectomy.
- Analysis of reported patient outcomes, including length of hospital stay and complication rates.
Main Results:
- ERAS protocols are associated with a shorter length of hospital stay (LOS) in radical cystectomy patients.
- Most studies show no significant increase in complication or readmission rates with ERAS.
- Individual intervention effectiveness within ERAS protocols remains difficult to quantify.
Conclusions:
- Available data support the use of ERAS protocols for radical cystectomy, leading to shorter LOS.
- Further randomized controlled trials are needed to determine the specific impact of ERAS components.
- ERAS shows promise for optimizing recovery after radical cystectomy without compromising safety.
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