scholarly journals Enhanced recovery after surgery protocol for prostate cancer patients undergoing laparoscopic radical prostatectomy

2018 ◽  
Vol 47 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Chunhua Lin ◽  
Fengchun Wan ◽  
Youyi Lu ◽  
Guojun Li ◽  
Luxin Yu ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Cancer Patients ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
The Body ◽  
Laparoscopic Radical Prostatectomy ◽  
Control Group ◽  
Tube Removal ◽  
Hospitalization Costs

Objective To determine the value of an enhanced recovery after surgery (ERAS) protocol for prostate cancer patients undergoing laparoscopic radical prostatectomy (LRP). Methods We conducted a retrospective cohort study using clinical data for 288 patients who underwent LRP in our hospital from June 2010 to December 2016. A total of 124 patients underwent ERAS (ERAS group) and the remaining 164 patients were allocated to the control group. ERAS comprised prehabilitation exercise, carbohydrate fluid loading, targeted intraoperative fluid resuscitation and keeping the body warm, avoiding drain use, early mobilization, and early postoperative drinking and eating. Results The times from LRP to first water intake, first ambulation, first anal exhaust, first defecation, pelvic drainage-tube removal, and length of hospital stay (LOS) were all significantly shorter, and hospitalization costs and the incidence of postoperative complications were significantly lower in the ERAS group compared with the control group. No deaths or reoperations occurred in either group, and there were no readmissions in the ERAS group, within 90 days after surgery. Conclusion ERAS protocols may effectively accelerate patient rehabilitation and reduce LOS and hospitalization costs in patients undergoing LRP.

scholarly journals Application of Rapid Rehabilitation Nursing in Perioperative Period of Laparoscopic Radical Prostatectomy for Prostate Cancer Patients

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Huimin Liu ◽  
Ke Yang ◽  
Fanghua Gong ◽  
Yan Wu ◽  
Sanhui Tang
Keyword(s):  
Prostate Cancer ◽  
Patient Satisfaction ◽  
Radical Prostatectomy ◽  
Perioperative Period ◽  
Laparoscopic Radical Prostatectomy ◽  
Control Group ◽  
Stress Hormone ◽  
Hospitalization Costs ◽  
Experimental Group ◽  
Length Of Hospitalization

The purpose of the study is to explore the application of rapid rehabilitation nursing strategy in the perioperative period of laparoscopic radical prostatectomy for patients with prostate cancer. A total of 120 patients with prostate cancer undergoing laparoscopic radical prostatectomy were randomly divided into two groups, with 60 cases per group. The control group was given routine nursing care, and the experimental group received rapid rehabilitation nursing strategies. The stress hormone (cortisol and norepinephrine) levels, patient satisfaction, length of hospitalization, hospitalization costs, and postoperative complication were compared between the two groups before and after nursing. The serum cortisol and norepinephrine levels in the control group before nursing were similar to those in the experimental group ( P > 0.05 ). The stress hormone levels in the experimental group were lower than those in the control group ( P < 0.05 ). It was found that the experimental group had reduced operation time, less intraoperative blood loss, shortened exhaust time, and hospitalization stay and was earlier to eat and to get out of bed than the control group ( P < 0.05 ). The time for the patients in the experimental group to pull out the drainage tube was significantly shorter than that of the control group ( P < 0.05 ), and the hospitalization costs were fewer than the control group ( P < 0.05 ). The rates of postoperative complications including nausea, vomiting, bleeding, and fever in the experimental group were significantly lower than those in the control group ( P < 0.05 ). In conclusion, the study suggests that rapid rehabilitation nursing strategies can reduce the stress hormone levels, shorten the length of hospitalization, reduce hospitalization costs, reduce postoperative complication rates, and improve patient satisfaction for prostate cancer patients undergoing laparoscopic radical prostatectomy, in support of clinical application.

214: Incidence and Risk Factors of Symptomatic DVT in Prostate Cancer Patients Undergoing Laparoscopic Radical Prostatectomy

2006 ◽  
Vol 175 (4S) ◽  
pp. 70-71
Author(s):  
Fernando P. Secin ◽  
Clément-Claude Abbou ◽  
Inderbir S. Gill ◽  
Georges Fournier ◽  
Thierry Piéchaud ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Risk Factors ◽  
Radical Prostatectomy ◽  
Cancer Patients ◽  
Laparoscopic Radical Prostatectomy

scholarly journals Enhanced recovery after surgery (ERAS) pathway optimizes outcomes and costs for minimally invasive radical prostatectomy

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092007
Author(s):  
Ying Xu ◽  
Ao Liu ◽  
Lu Chen ◽  
Hai Huang ◽  
Yi Gao ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Radical Prostatectomy ◽  
Minimally Invasive ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Multivariable Analysis ◽  
Conventional Care ◽  
Conventional Group ◽  
Hospitalization Costs ◽  
The Impact

Objective To evaluate the impact of an enhanced recovery after surgery (ERAS) pathway on patients undergoing minimally invasive radical prostatectomy at a single institute. Methods In this retrospective study, 301 patients who underwent laparoscopic or robot-assisted laparoscopic radical prostatectomy from May 2014 to September 2018 were consecutively recruited. Before April 2017, the patients were treated with conventional care; all patients were treated with the ERAS pathway thereafter. The primary outcome was the postoperative length of hospital stay (LOS). The secondary outcomes were hospitalization costs and postoperative complications. Results In total, 138 patients were treated with the ERAS pathway, and the remaining patients underwent conventional care. The postoperative LOS was significantly shorter in the ERAS group than in the conventional group (median, 6 vs. 8 days). The hospitalization costs were also significantly lower in the ERAS group ($4086 vs. $5530). Ten (6.1%) patients in the ERAS group and 17 (12.3%) patients in the conventional group developed postoperative complications. The multivariable analysis showed that ERAS care was a significant independent predictive factor for a shortened LOS and reduced hospitalization costs. Conclusions The ERAS pathway was associated with a shortened LOS and reduced hospitalization costs for patients undergoing minimally invasive radical prostatectomy.

Introduction of an Enhanced Recovery after Surgery Protocol for Robot-Assisted Laparoscopic Radical Prostatectomy

2017 ◽  
Vol 99 (2) ◽  
pp. 194-200 ◽  
Author(s):  
Motohiko Sugi ◽  
Tadashi Matsuda ◽  
Takashi Yoshida ◽  
Hisanori Taniguchi ◽  
Takao Mishima ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted

scholarly journals Application of enhanced recovery after surgery in patients undergoing radical cystectomy

2018 ◽  
Vol 46 (12) ◽  
pp. 5011-5018 ◽  
Author(s):  
Chunxiao Wei ◽  
Fengchun Wan ◽  
Haiwei Zhao ◽  
Jiajia Ma ◽  
Zhenli Gao ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Radical Cystectomy ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Transfusion Rate ◽  
Readmission Rates ◽  
Nasogastric Tubes ◽  
Tube Removal ◽  
Hospitalization Costs ◽  
The Times

Objective This study was performed to evaluate the application of enhanced recovery after surgery (ERAS) in patients undergoing radical cystectomy (RC). Methods The clinical data of 192 patients who underwent RC were collected in this retrospective cohort study. Among them, 91 patients who underwent ERAS were allocated to the ERAS group, and the remaining 101 patients who underwent traditional postoperative care procedures were allocated to the non-ERAS group. Perioperative indexes in the two groups were compared. The ERAS components included rehabilitation exercise, carbohydrate fluid loading, cessation of nasogastric tubes, omission of oral bowel preparation, regional local anesthesia, body-warming procedures, reduced drainage use, and early postoperative drinking and eating. Results The times from RC to first water intake, first ambulation, first anal exhaust, first defecation, and pelvic drainage tube removal were significantly shorter and the hospitalization costs were significantly lower in the ERAS than non-ERAS group. The intraoperative blood loss volume, blood transfusion rate, readmission rate, and incidence of postoperative complications were also significantly lower in the ERAS than non-ERAS group. Conclusion ERAS may effectively accelerate patient rehabilitation and reduce the length of stay, incidence of postoperative complications, readmission rates, and hospitalization costs for patients undergoing RC.

scholarly journals Evaluation of the effect of ERAS to nutritional status of patients with elective craniotomy using bioelectrical impedance analysis: a prospective and randomized controlled trial

2019 ◽  
Author(s):  
Jing Yan ◽  
Shasha Wang ◽  
Yuan Wang ◽  
Tianzhi Zhao ◽  
Binfang Zhao ◽  
...  
Keyword(s):  
Fat Mass ◽  
Bioelectrical Impedance Analysis ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Cell Mass ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
The Body ◽  
Control Group ◽  
Clinical Trial Registry

Abstract Background The aim of the present study was to test the body composition changes of patients undergoing elective craniotomy using bioelectrical impedance analysis, so as to evaluate the effect of enhanced recovery after surgery (ERAS) to nutritional status of patients. Methods 140 patients who needed elective craniotomy were randomly divided into two groups: observation group (ERAS group) and control group (traditional treatment group). The age was 45.6 ± 12.7 years old. Patients in ERAS group were treated with a set of enhanced recovery measures, while control group patients underwent conventional treatment. Bioelectrical impedance analysis was used to test body composition before and after the surgery. Results The body mass (BM), body mass index (BMI), fat mass (FM), muscle mass (MM), fat mass index (FMI), free-fat mass index (FFMI), body cell mass (BCM), body cell mass index (BCMI), in both groups were decreased after surgery. The decrease of FM and FMI in the control group was significantly different from that in the observation group (p<0.05). However, the decrease of BM, BMI, MM, FFMI, BCM and BCMI in both groups were not statistically significant. Conclusion Patients undergoing elective craniotomy showed various degrees of nutritional injuries, and ERAS could alleviate nutritional injuries caused by operation. Keywords Enhanced Recovery after Surgery • Bioelectrical impedance analysis • Elective craniotomy Trail Registration Chinese Clinical Trial Registry, ChiCTR-INR-16009662. Registered on 27 October 2016. Trail Registration Chinese Clinical Trial Registry, ChiCTR-INR-16009662. Registered on 27 October 2016.

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