ArticlePakistan journal of medical sciences2025
The application of ERAS Protocol in Laparoscopic Radical Cystectomy combined with Cutaneous Ureterostomy and its impact on postoperative recovery.
Article in Pakistan journal of medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: The effectiveness of the Enhanced Recovery After Surgery (ERAS) protocol in patients undergoing laparoscopic radical cystectomy combined with cutaneous ureterostomy (LRC-CU) is unclear. This study aimed to explore the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols in patients undergoing laparoscopic radical cystectomy combined with cutaneous ureterostomy (LRC-CU). Methods: This retrospective study included clinical records of patients who underwent LRC-CU in the West China Hospital of Sichuan University from October 2022 to October 2024. Patients were divided into the ERAS and the non-ERAS groups based on the adopted perioperative protocol. Postoperative recovery status, the Herth Hope Index (HHI), the Assessment of Cancer Therapy-General (FACT-G), and the incidence of complications were assessed. Results: A total of 105 patients were included, with 54 patients in the ERAS and 51 in the non-ERAS group. The times to postoperative exhaustion, first bowel movement, getting out of bed, and length of hospital stay were significantly shorter in the non-ERAS group (P < 0.05). After surgery, the HII and FACT-G scores in both groups increased compared to preoperative values and were significantly higher in the ERAS group compared to the non-ERAS group (P < 0.05). The incidence of complications in the ERAS group (3.70%) was lower than that in the non-ERAS group (17.65%) (P<0.05). Conclusions: The ERAS protocols adopted by LRC-CU can significantly shorten the rehabilitation process, reduce the incidence of complications, and improve the HHI and the quality of life (QOL) of LRC-CU patients.
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