Zainfeld Daniel, Djaladat Hooman
Institute of Urology, USC Keck/Norris Comprehensive Cancer Center, Los Angeles, California.
J Surg Oncol. 2017 Oct;116(5):630-637. doi: 10.1002/jso.24821. Epub 2017 Sep 22.
Coordinated multidisciplinary perioperative care through enhanced recovery protocols has improved outcomes within urologic surgery. Continued development and refinement of enhanced recovery after surgery (ERAS) pathways will further augment the care of patients undergoing all urologic procedures. Among the challenges, moving forward is identification of barriers to ERAS adoption by providers, maximizing adherence among patients, standardization of ERAS pathways through establishment of evidence-based principles, and application in additional complex urologic procedures beyond radical cystectomy.
通过强化康复方案进行多学科协作的围手术期护理改善了泌尿外科手术的治疗效果。持续发展和完善术后加速康复(ERAS)路径将进一步提升接受所有泌尿外科手术患者的护理质量。在面临的挑战中,未来需要识别医疗服务提供者采用ERAS的障碍,使患者的依从性最大化,通过确立循证原则实现ERAS路径的标准化,并将其应用于除根治性膀胱切除术之外的其他复杂泌尿外科手术中。