Enhanced Recovery After Surgery Pathways

Autor: Ankeet Shah, Daniel Zainfeld, Siamak Daneshmand
Rok vydání: 2018
Předmět:
Zdroj: Urologic Clinics of North America. 45:229-239
ISSN: 0094-0143
DOI: 10.1016/j.ucl.2017.12.007
Popis: Radical cystectomy remains the gold standard therapy for the treatment of muscle-invasive urothelial carcinoma, yet is accompanied by significant rates of perioperative complications and readmission. Enhanced recovery protocols aim to apply evidence-based principles of care to ameliorate the morbidity of this procedure by enabling better tolerance of and recovery from radical cystectomy. Multiple patient series have demonstrated the capacity for enhanced-recovery-after-surgery (ERAS) principles to improve outcomes among patients undergoing radical cystectomy through decreased incidence of gastrointestinal complications and decreased length of hospitalization without increased readmissions or overall morbidity. Opportunities remain for adoption of established ERAS principles.
Databáze: OpenAIRE