Abstract

Background

To assess patients undergoing radical cystectomy using enhanced recovery protocol and standard protocol in terms of intraoperative and postoperative outcomes and complications.

Results

All operative and postoperative complications were recorded. In group B, time to normal bowel activity ranged from 1 to 4 days, and the mean was 1.8 days (± 1.02), while it ranged from 1 to 5 days, and the mean was 3.17 days (± 1.14) in group A which was statistically significant (p value < 0.001). The length of hospital stay in group B ranged from 6 to 50 days, the mean was 13.16 days (± 7.83), while it ranged from 8 to 35 days, and the mean was 14.71 days (± 5.78) in group A which was statistically significant (p value = 0.033). Postoperative mortality was similar in both groups.

Conclusion

In patients undergoing radical cystectomy, enhanced recovery protocol is considered as a safe procedure and not associated with any increase in intraoperative and postoperative complications compared to standard protocol. The length of hospital stay and time to return to full diet are reduced.

Details

Title
Enhanced recovery protocol versus standard protocol for patients undergoing radical cystectomy: results of a prospective randomized study
Author
Ibrahim, Hisham 1 ; Kotb, Sameh 1   VIAFID ORCID Logo  ; Abd Allah, Ahmed 1 ; Kassem, Ayman 1 ; Salem, Ahmed 1 ; Abd ElHamid, Mahmoud 1 ; ElFayoumy, Hany 1 ; Mosharafa, Ashraf 1 ; Saad, Ismail Rady 1 ; Mursi, Khaled 1 ; Abdel-Razzak, Omar 1 

1  Cairo University, Urology Department, Kasr Al-Ainy Hospitals, Cairo, Egypt (GRID:grid.7776.1) (ISNI:0000 0004 0639 9286) 
Pages
2
Publication year
2020
Publication date
Dec 2020
Publisher
Springer Nature B.V.
ISSN
11105704
e-ISSN
19619987
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s12301-019-0012-3
ProQuest document ID
2788423422
Copyright
© The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.