Enhanced Recovery After Surgery protocols for radical cystectomy surgery: review of current evidence and local protocols

ANZ Journal of Surgery
Maria C MirNathan Lawrentschuk

Abstract

Radical cystectomy (RC) remains a morbid procedure. The use of Enhanced Recovery After Surgery (ERAS) pathways has proven to reduce care time and post-operative complications after colorectal surgery. There is a high potential for reducing morbidity associated with RC by utilizing ERAS in this setting. The purpose of this review is to examine the current evidence for ERAS in preoperative, intra-operative and post-operative setting of care for RC patients and to propose ERAS evidence-based protocol for patients undergoing RC in the Australian and New Zealand environment. Patient's medical optimization, avoidance of oral mechanical bowel preparation and emphasis on preoperative administration of high-energy carbohydrate drinks from colorectal literature has led to inclusion of these strategies in the preoperative considerations of ERAS in RC. Epidural analgesia has an integral role in reducing surgical stress response, improving analgesia and expediting functional recovery and should be included in ERAS RC protocols. Of relevance is 72 h maximum length of its duration. With regard to minimally invasive approach to RC, despite encouraging results from high-volume centres, high-level evidence in this field are lacking (ongoing clin...Continue Reading

References

Apr 1, 1982·The Australian and New Zealand Journal of Surgery·A R AskewG A Balderson
Mar 29, 2002·The New England Journal of Medicine·David BergqvistUNKNOWN ENOXACAN II Investigators
Jul 4, 2002·American Journal of Surgery·Henrik Kehlet, Douglas W Wilmore
Jul 1, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Dale W BratzlerUNKNOWN Surgical Infection Society
Jan 28, 2005·The Cochrane Database of Systematic Reviews·K F GuenagaP Wille-Jørgensen
Oct 5, 2007·Diseases of the Colon and Rectum·Adrian L PolglaseRachelle Buchbinder
Jan 15, 2008·BJU International·Nimalan ArumainayagamDavid A Gillatt
Jan 8, 2010·The New England Journal of Medicine·Rabih O DarouicheDavid H Berger
Feb 4, 2010·Journal of the American College of Surgeons·Raj S PruthiEric M Wallen
Mar 27, 2010·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·A K GarthT C Crowe
Jul 6, 2010·The British Journal of Surgery·F CarliN E Mayo
Jul 21, 2010·Critical Care Clinics·Krishna K VaradhanOlle Ljungqvist
Oct 21, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A KahokehrA G Hill
Nov 16, 2010·The Journal of Urology·Justin R GreggDaniel A Barocas
Mar 10, 2011·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Ioannis AdamakisConstantinos A Constantinides
Jun 30, 2011·European Journal of Anaesthesiology·Ian SmithUNKNOWN European Society of Anaesthesiology
May 19, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N J SmartN K Francis
Aug 8, 2012·Critical Care : the Official Journal of the Critical Care Forum·John R ProwleRinaldo Bellomo
Oct 12, 2012·World Journal of Surgery·U O GustafssonUNKNOWN International Association for Surgical Metabolism and Nutrition (IASMEN)
Oct 12, 2012·World Journal of Surgery·J NygrenUNKNOWN International Association for Surgical Metabolism and Nutrition (IASMEN)
Jul 6, 2013·Annals of the Royal College of Surgeons of England·S MukhtarM J A Perry
Sep 11, 2013·European Urology·Devon C Snow-LisyGeorges-Pascal Haber
Nov 6, 2013·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Yannick CerantolaHitendra R H Patel

❮ Previous
Next ❯

Citations

Jun 3, 2017·The Journal of Urology·Nathan Lawrentschuk
Aug 11, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·James C SenturkEdward Whang
Oct 20, 2018·Current Urology Reports·Anthony D OberleKenneth G Nepple
May 26, 2017·BJU International·Cristian UdovicichDaniel Lenaghan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
Megan MelnykAnthony J Koupparis
The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Claire L DonohoeJohn V Reynolds
Current Opinion in Urology
Kyle A Richards, Gary D Steinberg
© 2021 Meta ULC. All rights reserved