Application of enhanced recovery after surgery in perioperative period of radical cystectomy and evaluation on its effect

Abstract:

Objective：To discuss the application of enhanced recovery after surgery（ERAS） in the perioperative among the patients with radical cystectomy. Methods：Under the peritoneoscope，115 patients with bladder cancer accepting laparoscopic radical cystec－tomy were divided into the ERAS group and conventionaltreatment group at random. The ERAS scheme was applied in ERAS，while the conventional scheme was applied in the conventional treatment group to observe a series of indexes which include first exhaust，first defecation，intestinal obstruction，hospital stay，etc. Results：The first time of anal exsufflation and the first defecation time in ERAS group were （34.67±3.13） h and （55.10±5.73） h， while the first time of anal exsufflationand the first defecation time in the conventional treatment group were （43.03±4.42） h and （63.64±4.82） h， respectively. The intestinal function recovery of patients in ERAS group was obviously reduced by comparing with the conventional treatment group. First bed-off time in ERAS group was （24.89±5.74） h， which was also less than the conventional treatment group （39.58±7.85） h. The difference had the statistical sig－nificance（P<0.05）. The length of stay in ERAS group was （7.81±2.03） d， which was less than the conventional treatment group （13.56±1.99） d. The difference had the statistical significance（P<0.05）. Conclusions：After radical cystectomy， enhanced recovery aftersurgery is safe and reliable. Moreover， under the precondition of not increasing complications， it can shorten average length of stay and speed up patients’ recovery.