Enhanced Recovery after Surgery Protocol for Patients Undergoing Radical Cystectomy

Kwon WA

Department of Urology, Myongji Hospital, Hanyang University College of Medicine, Republic of Korea

^*Correspondance to: Whi-An Kwon 

 PDF  Full Text Review Article | Open Access

Abstract:

Radical Cystectomy (RC) is considered the most effective treatment for muscle-invasive bladder cancer. However, despite advancements in perioperative care, anesthesia management, and surgical techniques, RC is associated with a high rate of complications and prolonged hospitalization. As a result, there is growing interest in developing comprehensive approaches involving multiple disciplines to enhance postoperative recovery and reduce variations in perioperative care for complex surgeries. The implementation of Enhanced Recovery After Surgery (ERAS) protocol has shown promising results in reducing gastrointestinal complications and shortening hospital stays for RC patients, without increasing readmissions or overall morbidity. Ongoing research is focusing on incorporating scientific data into the ERAS program to modify variables that contribute to RC complications, and to enhance both pre- and postoperative patient care. Utilizing ERAS protocols in RC patients can significantly improve postoperative recovery and reduce morbidity rates. However, further research is needed to evaluate the effectiveness of integrating scientific data into the ERAS program, and to identify additional strategies for enhancing pre- and postoperative patient care. The purpose of this review is to provide a summary of the key components of an ERAS protocol for patients undergoing RC, including the preoperative, intraoperative, and postoperative phases, as well as explore future research possibilities. A thorough literature search was conducted to identify studies demonstrating the effectiveness of ERAS protocols in improving outcomes for RC patients. Additionally, ongoing studies investigating the integration of scientific data into the ERAS program to address factors contributing to RC complications were examined.

Keywords:

Bladder cancer; Enhanced recovery after surgery; Radical cystectomy

Cite the Article:

Kwon WA. Enhanced Recovery after Surgery Protocol for Patients Undergoing Radical Cystectomy. Clin Oncol. 2023;8:2007..