Enhanced recovery after surgery for radical cystectomy with ileal urinary diversion: a multi-institutional, randomized, controlled trial from the Chinese bladder cancer consortium

World Journal of Urology
Tianxin LinJian Huang

Abstract

Enhanced recovery after surgery (ERAS) has played an important role in recovery management for radical cystectomy with ileal urinary diversion (RC-IUD). This study is to evaluate ERAS compared with the conventional recovery after surgery (CRAS) for RC-IUD. From October 2014 and July 2016, bladder cancer patients scheduled for curative treatment from 25 centers of Chinese Bladder Cancer Consortium were randomly assigned to either ERAS or CRAS group. Primary endpoint was the 30-day complication rate. Secondary endpoints included recovery of fluid and regular diet, flatus, bowel movement, ambulation, and length of stay (LOS) postoperatively. Follow-up period was 30-day postoperatively. There were 144 ERAS and 145 CRAS patients. Postoperative complications occurred in 25.7 and 30.3% of the ERAS and CRAS patients with 55 complications in each group, respectively (p = 0.40). There was no significant difference between groups in major complications (p = 0.82), or type of complications (p = 0.99). The ERAS group had faster recovery of bowel movements (median 88 versus 100 h, p = 0.01), fluid diet tolerance (68 versus 96 h, p < 0.001), regular diet tolerance (125 versus 168 h, p = 0.004), and ambulation (64 versus 72 h, p = 0.047) than ...Continue Reading

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Citations

Oct 20, 2018·Current Urology Reports·Saum Ghodoussipour, Hooman Djaladat
Mar 22, 2019·Scandinavian Journal of Urology·Kimie OedorfGitte Wrist Lam
Apr 6, 2019·Current Opinion in Urology·Carmen PozoMohammad Abufaraj
Jun 27, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Gianluca GiannariniVincenzo Ficarra
Nov 1, 2020·World Journal of Urology·Enrico Maria MinnellaWassim Kassouf
Jan 14, 2021·Der Urologe. Ausg. A·G B SchulzB Schlenker
Mar 27, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Peter HannaChristopher Weight
Aug 6, 2021·Research and Reports in Urology·Muaz Peerbocus, Zeng-Jun Wang

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