Enhanced recovery programmes for patients undergoing radical cystectomy

被引:19
|
作者
Smith, Julian [1 ]
Pruthi, Raj S. [2 ]
McGrath, John [3 ]
机构
[1] Southampton Univ Hosp, Southampton SO16 6YD, Hants, England
[2] Univ N Carolina, Dept Urol, Chapel Hill, NC 27599 USA
[3] Royal Devon & Exeter Hosp, Exeter EX2 5DW, Devon, England
关键词
RANDOMIZED-CLINICAL-TRIAL; PERIOPERATIVE BLOOD-TRANSFUSION; OPIOID RECEPTOR ANTAGONIST; BLADDER-CANCER; GASTROINTESTINAL SURGERY; VENOUS THROMBOEMBOLISM; MUSCLE FUNCTION; BOWEL MOTILITY; FLUID THERAPY; CARE;
D O I
10.1038/nrurol.2014.164
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Radical cystectomy is associated with high rates of surgical morbidity. The magnitude of the surgical insult is associated with the degree of stress response, particularly in ageing patients with multiple comorbidities. Attempts to limit this response and identify areas of improvement with respect to patient selection and optimization, anaesthesia, surgical technique and postoperative care underpin the multimodal approach to enhanced recovery pathways. No single intervention significantly reduces morbidity, but the combination of many interventions at all levels of the pathway is likely to accelerate the patient journey from diagnosis to return to normal function.
引用
收藏
页码:437 / 444
页数:8
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