Norris Comprehensive Cancer Center, USC Institute of Urology, Institute of Urology, Los Angeles, California, USA.
Curr Opin Urol. 2014 Mar;24(2):135-9. doi: 10.1097/MOU.0000000000000027.
To evaluate perioperative enhanced recovery protocols for patients undergoing radical cystectomy and urinary diversion and describe our unique protocol.
Radical cystectomy is a morbid procedure with rather long hospital stay and complication rates. The main reason for lengthy hospital stay is bowel complication including paralytic ileus. Different perioperative care plans have been recommended to decrease hospital stay and complication rate. Most of this recovery plans focus on enhancing gastrointestinal function recovery, pain management and early mobility.
Enhanced recovery after surgery protocol includes pre, intra and postoperative evidence-based modifications for improving perioperative care of cystectomy patients. Significant shortening of hospital stay without increasing early complication or readmission rate could be achieved safely in most of the patients.
评估接受根治性膀胱切除术和尿流改道术的患者的围手术期强化康复方案，并描述我们独特的方案。
根治性膀胱切除术是一种病态手术，住院时间长，并发症发生率高。住院时间长的主要原因是肠道并发症，包括麻痹性肠梗阻。已经推荐了不同的围手术期护理计划来降低住院时间和并发症发生率。这些康复计划主要集中在增强胃肠道功能恢复、疼痛管理和早期活动。
手术后强化康复方案包括术前、术中和术后基于证据的修改，以改善膀胱癌患者的围手术期护理。在大多数患者中，可以安全地实现显著缩短住院时间，而不会增加早期并发症或再入院率。
