Enhanced Recovery After Surgery: Are We Ready, and Can We Afford Not to Implement These Pathways for Patients Undergoing Radical Cystectomy?

Efficacy of a multiprofessional rehabilitation programme in radical cystectomy pathways: A prospective randomized controlled trial

“…In general, LOS is considered an important prognostic variable for a positive surgical outcome, although its elasticity may limit its value as a parameter for comparisons [27]. The LOS varies according to different centres, referral patterns, healthcare systems and access to homecare support, and there is substantial heterogeneity in protocols, making comparisons difficult [5,6,9,28]. Auditing the present results, the authors compared actual LOS with timely LOS according to standardized discharge criteria, revealing a further reduction to a median of 7 days; however, this effect was seen in both groups.…”

“…Programmes with more components are no more successful than those with fewer components [5]. However, early studies including enhanced protocols in RC have improved elements of postoperative care and reported benefits in LOS [9].…”

Preoperative nutritional factors and outcomes after radical cystectomy: A narrative review

“…However, ERAS protocols typically only optimize short term nutritional factors before surgery using an immediate pre-operative carbohydrate loading. 58,59 Those protocols are designed to accelerate post-operative recovery, not improve the overall nutritional status of a patient.…”

Early recovery program in the radical surgical treatment of patients with prostate cancer: Experience of the specialized hospital

“…Ранней активизации пациента способствует локо-регионарная анестезия (с параллельным уменьше-нием нагрузки опиоидными анальгетиками), которая, по данным H. R. Patel и соавт., также снижает частоту развития тромбоэмболических осложнений, пневмо-нии, илеуса [36]. Аналогичный подход -высокую эпидуральную анестезию (1-3 сут после РПЭ) и не-стероидные противовоспалительные препараты -мы применили к пациентам 2-й группы.…”