Urologie pro praxi 3/2017

Radical cystectomy in the time of ERAS

Fast-track method of accelerated rehabilitation after surgery, also called ERAS (Enhanced Recovery After Surgery), is a set of protocols aimed to reducing hospitalization time, reduce patient morbidity and increase the effectiveness of surgery. ERAS is an interdisciplinary approach and a lot of studies clearly demonstrate the advantages of these approach for a variety of surgical procedures, including radical cystectomy (RC). The article discusses the various aspects and benefits of this comprehensive process. ERAS requires good interdisciplinary collaboration, a clear common aim of preserving individual approach in the context of personalized medicine. Despite numerous studies confirming the clinical safety and usefulness of ERAS (including economic), these protocols come into routine practice relatively slowly.

Keywords: bladder cancer, radical cystectomy, fast track, ERAS – Enhanced Recovery After Surgery, alvimopan, rehabilitation, interdisciplinary collaboration, personalized medicine.