Abstract
Objective To examine the effects of ERAS protocol application on hospital stay, postoperative antibiotic use, and gastrointestinal recovery time in radical cystectomy patients with ileal conduit. Materials and Methods This retrospective study included 182 patients (112 traditional vs. 72 ERAS) who underwent radical cystectomy (RC) with ileal conduit between November 2017 and December 2020. Patients were compared in terms of time to start enteral feeding (SEF), length of hospital stay (LOS), time to first stool, duration of postoperative intravenous antibiotic use, postoperative ileus rate, and serum albumin levels. Results The traditional and ERAS groups contained 112 and 72 patients, respectively. LOS (14.79 ± 6.44 vs. 10.44 ± 4.64 days, p=0.003), first stool time (4.43 ± 2.39 vs. 2.89 ± 1.81 days, p=0.011), and duration of postoperative intravenous antibiotic use (8.79 ± 5.17 vs. 4.61 ± 4.90, p=0.004) were to be found significantly shorter in the ERAS group. Conclusion According to the results of this study, the ERAS protocol shortened the length of hospital stay, duration of antibiotic use, and time of first stool in patients who underwent RC with ileal conduit.
Highlights
Morbidity and mortality from Radical cystectomy (RC) have decreased in recent years due to advances in surgical technique, anesthesia, and postoperative procedures [4]
Complications such as nausea, vomiting, fever, and ileus have been reported in patients after the ileal conduit procedure, [6]. ese complications affect the length of hospital stay and increase the cost of the operation
Longitudinal median incision was made from the level of the umbilicus to the symphysis pubis, which was approximately 10–12 cm. e steps of RC surgery were performed as previously described in the literature
Summary
To examine the effects of ERAS protocol application on hospital stay, postoperative antibiotic use, and gastrointestinal recovery time in radical cystectomy patients with ileal conduit. Is retrospective study included 182 patients (112 traditional vs 72 ERAS) who underwent radical cystectomy (RC) with ileal conduit between November 2017 and December 2020. LOS (14.79 ± 6.44 vs 10.44 ± 4.64 days, p 0.003), first stool time (4.43 ± 2.39 vs 2.89 ± 1.81 days, p 0.011), and duration of postoperative intravenous antibiotic use (8.79 ± 5.17 vs 4.61 ± 4.90, p 0.004) were to be found significantly shorter in the ERAS group. According to the results of this study, the ERAS protocol shortened the length of hospital stay, duration of antibiotic use, and time of first stool in patients who underwent RC with ileal conduit
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