Enhanced recovery protocol after radical cystectomy for bladder cancer

noticia |

Daneshmand S., Ahmadi H., Schuckman A.K., Mitra A.P., Cai J., Miranda G., Djaladat H.

Journal of Urology 2014 192:1 (50-55)

Purpose Enhanced recovery after surgery protocols aim to improve patient care and decrease complications and hospital stay. We evaluated our enhanced recovery after surgery protocol, focusing on length of stay, early complication and readmission rates after radical cystectomy for bladder cancer. Materials and Methods From May 2012 to July 2013 a perioperative protocol was applied in 126 consecutive patients who underwent open radical cystectomy and urinary diversion. Nonconsenting patients (2), those with previous diversion (2) and prolonged postoperative intubation (3), and those who underwent additional surgery (9) were excluded from study. The protocol focuses on avoiding bowel preparation and nasogastric tube, early feeding, nonnarcotic pain management and the use of cholinergic and ?-opioid antagonists. Outcomes were compared to those in matched controls from our bladder cancer database. Results A total of 110 patients with a median age of 69 years were included in analysis, of whom…(vermás)


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