ArticleInvestigative and clinical urology2024
Implementation of the enhanced recovery after surgery protocol for radical cystectomy patients: A single centre experience.
Article in Investigative and clinical urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 4 citations in OpenAlex.
- Early complications within 30 days after radical cystectomy: The top seven complications and their predictors.Investigative and clinical urology · 2026Observational
- Urinary tract infections after benign cystectomy: Incidence, risk factors, pathogens, and resistance patterns.Investigative and clinical urology · 2026Article
- Enhanced recovery after radical cystectomy for bladder cancer: a prospective observational case -control study.BMC urology · 2026Observational
- Outcomes after cystectomy in Australian rural and metropolitan hospitals by intensive care admissions.BJU international · 2025Article
- Totally intracorporeal ileal neobladder following robot-assisted radical cystectomy in male patients using the Juntendo technique: Initial experience.Investigative and clinical urology · 2025Article
- Urothelial carcinoma: Perioperative considerations from top to bottom.CA: a cancer journal for cliniciansReview
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe enhanced recovery after surgery (ERAS) protocol for radical cystectomy aims to facilitate postoperative recovery and hasten a return to normal daily activities. This study aims to report on the perioperative outcomes of implementation of an ERAS protocol at a single Australian institution. MATERIALS AND
methodsWe identified 73 patients with pT1-T4 bladder cancer who underwent open radical cystectomy at Western Health, Victoria between June 2016 and August 2021. A retrospective analysis of a prospectively maintained database was performed. Perioperative outcomes included length of hospital stay, nasogastric tube requirement and duration of postoperative ileus.
resultsThe median age was 74 years (interquartile range [IQR] 66-78) for the ERAS group and 70 years (IQR 65-78) for the pre-ERAS group patients. All patients in each group underwent ileal conduit formation. The median length of hospital stay was 7.0 days (IQR 7.0-9.3) for the ERAS group and 12.0 days (IQR 8.0-16.0) for the pre-ERAS group (p=0.003). Within the ERAS group, 25.0% had a postoperative ileus, and 25.0% had a nasogastric tube inserted, compared with 64.9% (p=0.001) and 45.9% (p=0.063) respectively within pre-ERAS group. The median bowel function recovery time, defined as duration from surgery to first bowel action, was 5.0 days (IQR 4.0-7.0) in the ERAS group and 7.5 days (IQR 5.0-8.5) in the pre-ERAS group (p=0.016).
conclusionsImplementation of an ERAS protocol is associated with a reduction in hospital length of stay, postoperative ileus and bowel function recovery time.
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