دورية أكاديمية
Advantages of enhanced recovery after surgery program in robot-assisted radical cystectomy
| العنوان: | Advantages of enhanced recovery after surgery program in robot-assisted radical cystectomy |
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| المؤلفون: | Masaki Nakamura, Ibuki Tsuru, Taro Izumi, Akihiro Ono, Yasushi Inoue, Yasuko Muraki, Yumi Yamada, Yuko Tsuji, Junko Watanabe, Mutsuko Fujimura, Shunsuke Kihara, Akihiro Naito, Taichi Shiratori, Ryo Amakawa, Hiroki Inatsu, Tadashi Yoshimatsu, Masanori Kashiwagi, Akira Fukuda, Teppei Morikawa, Masashi Kusakabe, Motofumi Suzuki, Shuji Kameyama, Haruki Kume, Yoshiyuki Shiga |
| المصدر: | Scientific Reports, Vol 13, Iss 1, Pp 1-7 (2023) |
| بيانات النشر: | Nature Portfolio, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine LCC:Science |
| مصطلحات موضوعية: | Medicine, Science |
| الوصف: | Abstract Radical cystectomy is a gold-standard treatment for muscle-invasive bladder cancer. We recently introduced robot-assisted radical cystectomy (RARC) with perioperative enhanced recovery after surgery (ERAS). The medical records of patients with bladder cancer who underwent open radical cystectomy (ORC) or RARC/ERAS at NTT Medical Center Tokyo were retrospectively reviewed to compare the surgical outcomes, hospital stay, and medical costs between groups. Multidisciplinary full ERAS items were provided for the RARC/ERAS group. The median estimated blood losses in the ORC and RARC/ERAS groups were 650 and 100 mL, and the median operative times were 312 and 445 min, respectively. In addition, the median times to liquid food intake in these groups were 6 and 0 days, the median times to first flatus and first defecation were 2 and 1 day, and 3 and 1.5 days, respectively. The rates of postoperative ileus in the ORC and RARC/ERAS groups were 27.5% and 4.5%, and the median postoperative hospital stays was 26.5 and 12 days, respectively. Medical costs excluding surgery were significantly lower in the RARC/ERAS group. In conclusion, RARC/ERAS represents a safe treatment option for muscle-invasive bladder cancer with decreased perioperative complications and lower medical costs. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2045-2322 |
| العلاقة: | https://doaj.org/toc/2045-2322Test |
| DOI: | 10.1038/s41598-023-43489-w |
| الوصول الحر: | https://doaj.org/article/f884c259bbe046b793cee3704333a218Test |
| رقم الانضمام: | edsdoj.f884c259bbe046b793cee3704333a218 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20452322 |
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| DOI: | 10.1038/s41598-023-43489-w |