Enhanced recovery after surgery (ERAS) protocols in patients undergoing radical cystectomy with ileal urinary diversions
Autor: | Harza Mihai, Ismail Gener, Sinescu Ioanel, Olaru Vlad, Olaru Manuela, Baston Catalin, Preda Adrian |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty complication rate Normal diet Urinary system medicine.medical_treatment Urinary Diversion Cystectomy Single Center Patient Readmission readmission rate law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Clinical Protocols Randomized controlled trial law Statistical significance Humans Medicine ERAS 030212 general & internal medicine radical cystectomy business.industry Clinical Trial/Experimental Study General Medicine Perioperative Length of Stay Middle Aged hospital stay Surgery Treatment Outcome Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Female Enhanced Recovery After Surgery business Complication Research Article |
Zdroj: | Medicine |
ISSN: | 1536-5964 0025-7974 |
DOI: | 10.1097/md.0000000000020902 |
Popis: | Background: Enhanced Recovery After Surgery (ERAS) protocols were introduced in clinical practice to reduce complication rates and hospital stay. We performed a randomized controlled single center study to evaluate perioperative benefits of an adapted ERAS protocol in patients with bladder cancer who underwent radical cystectomy (RC) and ileal urinary diversions (IUD). Materials and methods: Forty five from 90 consecutive randomized patients were enrolled in an adapted ERAS protocol. Length of stay, diet issues, return of bowel function, readmission rates and complications were examined. Results: Among patients following ERAS protocol, we found a significant reduction in time to first flatus (1 vs 5 days, P |
Databáze: | OpenAIRE |
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