ERAS vs. Traditional Protocol in Patients Who Had Radical Cystectomy with Ileal Conduit: A Retrospective Comparative Analysis of 182 Cases

IF 1.8 Q3 UROLOGY & NEPHROLOGY Advances in Urology Pub Date : 2022-02-28 DOI:10.1155/2022/7335960
A. S. Guleser, Yasar Basaga
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引用次数: 3

Abstract

Objective To examine the effects of ERAS protocol application on hospital stay, postoperative antibiotic use, and gastrointestinal recovery time in radical cystectomy patients with ileal conduit. Materials and Methods This retrospective study included 182 patients (112 traditional vs. 72 ERAS) who underwent radical cystectomy (RC) with ileal conduit between November 2017 and December 2020. Patients were compared in terms of time to start enteral feeding (SEF), length of hospital stay (LOS), time to first stool, duration of postoperative intravenous antibiotic use, postoperative ileus rate, and serum albumin levels. Results The traditional and ERAS groups contained 112 and 72 patients, respectively. LOS (14.79 ± 6.44 vs. 10.44 ± 4.64 days, p=0.003), first stool time (4.43 ± 2.39 vs. 2.89 ± 1.81 days, p=0.011), and duration of postoperative intravenous antibiotic use (8.79 ± 5.17 vs. 4.61 ± 4.90, p=0.004) were to be found significantly shorter in the ERAS group. Conclusion According to the results of this study, the ERAS protocol shortened the length of hospital stay, duration of antibiotic use, and time of first stool in patients who underwent RC with ileal conduit.
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回肠导管根治性膀胱切除术的ERAS与传统方案:182例回顾性比较分析
目的探讨ERAS方案应用对回肠导管膀胱切除术患者住院时间、术后抗生素使用和胃肠道恢复时间的影响。材料和方法这项回顾性研究包括182名患者(112名传统ERAS,72名ERAS),他们在2017年11月至2020年12月期间接受了回肠导管根治性膀胱切除术(RC)。比较患者开始肠内喂养的时间(SEF)、住院时间(LOS)、首次排便的时间、术后静脉注射抗生素的持续时间、术后肠梗阻率和血清白蛋白水平。结果传统组112例,ERAS组72例。洛斯(14.79 ± 6.44对10.44 ± 4.64天,p=0.003),首次排便时间(4.43 ± 2.39对2.89 ± 1.81天,p=0.011)和术后静脉注射抗生素的持续时间(8.79 ± 5.17对4.61 ± 4.90,p=0.004)在ERAS组中显著缩短。结论根据本研究的结果,ERAS方案缩短了带回肠导管的RC患者的住院时间、抗生素使用时间和首次排便时间。
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来源期刊
Advances in Urology
Advances in Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
0.00%
发文量
17
审稿时长
15 weeks
期刊介绍: Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.
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