Ghodoussipour Saum, Djaladat Hooman
Institute of Urology, USC/Norris Comprehensive Cancer Center, University of Southern California, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA, 90089, USA.
Curr Urol Rep. 2018 Oct 18;19(12):98. doi: 10.1007/s11934-018-0855-3.
The purpose of the study is to review and summarize major additions to the literature as pertains to enhanced recovery protocols after radical cystectomy in the past year.
Enhanced recovery after surgery protocols is multimodal pathways that include elements to optimize all stages of care including preoperative, intraoperative and postoperative measures. Several authors have recently presented their results with initial implementation of an enhanced recovery protocol after radical cystectomy, while others have begun to examine outcomes beyond the index admission and to refine the various targeted components of the protocol. Enhanced recovery after surgery protocols has revolutionized patient care following radical cystectomy, a procedure still burdened by high complication rates and lengthy hospital stay. Although still lacking in universal implementation and standardization of the protocol, significant advancements are made each year as we move towards best practice.
本研究的目的是回顾和总结过去一年中与根治性膀胱切除术后强化康复方案相关的文献中的主要新增内容。
术后强化康复方案是多模式途径，包括优化护理各阶段的要素，涵盖术前、术中和术后措施。最近有几位作者展示了他们在根治性膀胱切除术后初步实施强化康复方案的结果，而其他作者则开始研究出院后的结局，并完善该方案的各个目标组成部分。术后强化康复方案彻底改变了根治性膀胱切除术后的患者护理，该手术仍因高并发症发生率和较长住院时间而负担沉重。尽管该方案仍缺乏普遍实施和标准化，但随着我们朝着最佳实践迈进，每年都取得了重大进展。
