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Related Experiment Video

Updated: Nov 21, 2025

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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[Enhanced Recovery After Surgery (ERAS®) after radical cystectomy-current data].

G B Schulz1, Y Volz2, F Jokisch2

  • 1Urologische Klinik und Poliklinik, LMU Klinikum München, Marchioninistr. 15, 81377, München, Deutschland. gerald.schulz@med.uni-muenchen.de.

Der Urologe. Ausg. A
|January 13, 2021
PubMed
Summary
This summary is machine-generated.

Enhanced Recovery After Surgery (ERAS®) protocols can improve radical cystectomy outcomes. Evidence suggests ERAS® shortens hospital stays without increasing complications, utilizing key elements like early mobilization and optimized pain management.

Keywords:
Bladder carcinomaComplication rateEnhanced Recovery After SurgeryMortalityRadical cystectomy

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Area of Science:

  • Urology
  • Surgical Oncology
  • Perioperative Medicine

Background:

  • Radical cystectomy is a major surgery with significant morbidity and mortality.
  • Enhanced Recovery After Surgery (ERAS®) protocols are established in colorectal surgery and adapted for radical cystectomy.
  • ERAS® aims to optimize perioperative management and patient recovery.

Purpose of the Study:

  • To systematically review the literature and guidelines on ERAS® protocols for radical cystectomy.
  • To evaluate the evidence supporting the components of ERAS® in this patient population.

Main Methods:

  • Conducted a systemic literature search.
  • Evaluated relevant clinical guidelines and evidence.

Main Results:

  • Most ERAS® recommendations are extrapolated from abdominal surgery data.
  • Limited specific trials (4 RCTs) and guidelines exist for radical cystectomy.
  • ERAS® implementation appears to reduce length of stay without increasing complications.
  • Key components include: no bowel preparation, no nasogastric tube, optimized fluid management, multimodal pain control, early mobilization, and early oral diet.

Conclusions:

  • Multidisciplinary collaboration is essential for successful ERAS® implementation.
  • Future goals include individualizing ERAS® programs and adapting them to radical cystectomy patients' specific needs.