加速康复外科在根治性全膀胱切除及尿流改道术的应用现状及探讨

doi:10.19558/j.cnki.10-1020/r.2019.01.014

摘要
图/表
参考文献
相关文章 (3)

全文: PDF (857 KB) RICH HTML
输出: BibTeX | EndNote (RIS)

摘要加速康复外科（ERAS）最先提出于结直肠手术,目的在于减少患者术后并发症,缩短住院时间,使患者能够更快康复,降低医疗资源浪费,缩减患者花费。这一理念在不断的发展和完善的同时推广到很多学科,其中也经历很多波折,因为ERAS的具体措施有很多是与传统的外科教条相矛盾的。对此,我们探讨ERAS在全膀胱切除及尿流改道术的应用,并做一综述。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	程强
	常骁
	李宏召

关键词 ：加速康复外科, 全膀胱切除术, 尿流改道术, 安全性及可行性

Abstract：Enhance recovery after surgery (ERAS) was first put forward in colorectal surgery to reduce postoperative morbidity, shorten length of hospital stay, help patients rehabilitate faster, greatly reduce the waste of medical resources to a certain extent, besides for the cost of patients. The concept was brought into China from the west, under increasingly development and improvement, spread to many disciplines. Because the measures of ERAS have many contradictories to the traditional surgical dogmas, it caused many obstructions. This review discussed the application of ERAS in radical cystectomy and urinary diversion for bladder cancer.

Key words： enhance recovery after surgery radical cystectomy urinary diversion safety and feasibility

收稿日期: 2018-07-14

ZTFLH:

R737.14

通讯作者: 李宏召, urolacent@126.com

引用本文:

程强, 常骁, 李宏召. 加速康复外科在根治性全膀胱切除及尿流改道术的应用现状及探讨[J]. 微创泌尿外科杂志, 2019, 8(1): 58-65.
CHENG Qiang, CHANG Xiao, LI Hongzhao. Application and discussion of enhance recovery after surgery in radical cystectomy and urinary diversion. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(1): 58-65.

链接本文:

http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1482.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2019/V8/I1/58

[1] FERLAY J, SOERJOMATARAM I, DIKSHIT R, et al.Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer, 2015,136(5):E359-E386.
[2] 那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南.北京:人民卫生出版社,2014:20-60.
[3] MIRVALD C, SURCEL C, GINGU C, et al.C134: early complication rates and perioperative mortality after radical cystectomy in the elderly. Eur Urol Suppl, 2014,13(6):1319-1320.
[4] HAUTMANN RE, DE PETRICONI RC, VOLKMER BG.Lessons learned from 1,000 neobladders: the 90-Day complication rate. J Urol, 2010,184(3):990-994.
[5] Rink M.How to prevent and reduce the complication rate in patients eligible for radical cystectomy? Eur Urol Suppl, 2017,16(2):74-75.
[6] STIMSON CJ, CHANG SS, BAROCAS DA, et al.Early and late perioperative outcomes following radical cystectomy: 90-Day readmissions, morbidity and mortality in a contemporary series. J Urol, 2010,184(4):1296-1300.
[7] KEHLET H.Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth, 1997,78(5):606-617.
[8] PATEL HR, CERANTOLA Y, VALERIO MA, et al.Enhanced recovery after surgery: are we ready, and can we afford not to implement these pathways for patients undergoing radical cystectomy? Eur Urol, 2014,65(2):263-266.
[9] SEMERJIAN A, MILBAR N, KATES M, et al.Hospital charges and length of stay following radical cystectomy in the enhanced recovery after surgery era. Urology, 2018,111:86-91.
[10] PANG KH, GROVES R, VENUGOPAL S, et al.The application of ERAS pathways to radical cystectomy: outcomes from 482 consecutive cases. Eur Urol Suppl, 2017,16(3):e1023.
[11] FREES SP.A prospective randomized single-centre trial evaluating an ERAS protocol versus a standard protocol for patients treated with radical cystectomy and urinary diversion for bladder cancer. Eur Urol Suppl, 2017,16(3):1024-1025.
[12] MÜLLER S, LILLEAASEN G, DAVAMI J, et al. Enhanced recovery after radical cystectomy-results of the first 18 months after implementation of a full ERAS program using the EIAS database. Eur Urol Suppl, 2017,16(3):e1028-e1029.
[13] DANESHMAND S, AHMADI H, SCHUCKMAN AK, et al.Enhanced recovery protocol after radical cystectomy for bladder cancer. J Urol, 2014,192(1):50-55.
[14] COLLINS JW, PATEL HB, ADDING CA, et al.Enhanced recovery after robot-assisted radical cystectomy: EAU robotic urology section scientific working group consensus view. Eur Urol, 2016,70(4):649-660.
[15] DJALADAT H, KATEBIAN B, BAZARGANI ST, et al.90-Day complication rate in patients undergoing radical cystectomy with enhanced recovery protocol: a prospective cohort study. World J Urol, 2017,35(6):907-911.
[16] JOHNSON DC, RIGGS SB, NIELSEN ME, et al.Nutritional predictors of complications following radical cystectomy. World J Urol, 2015,33(8):1129-1137.
[17] TOBERT CM, HAMILTON-REEVES JM, NORIAN LA, et al.Emerging impact of malnutrition on surgical patients: literature review and potential implications for cystectomy in bladder cancer. J Urol, 2017,198(3):511-518.
[18] BAHAT G, TUFAN F, TUFAN A, et al.The ESPEN guidelines on enteral nutrition-Geriatrics: Need for its promotion in practice. Clin Nutr, 2016,35(4):985.
[19] TURAN A, KOYUNCU O, EGAN C, et al.Effect of various durations of smoking cessation on postoperative outcomes: A retrospective cohort analysis. Eur J Anaesthesiol, 2018,35(4):256-265.
[20] GIERTH M, ZEMAN F, DENZINGER S, et al.Influence of body mass index on clinical outcome parameters, complication rate and survival after radical cystectomy: evidence from a prospective European multicentre study. Urol Int, 2018,101(1):16-24.
[21] JENSEN BT, KIESBYE B, SOENDERGAARD IA, et al.Efficacy of preoperative uro-stoma education on self-efficacy after radical cystectomy; secondary outcome of a prospective randomized controlled trial. Eur J Oncol Nurs, 2017,28:41-46.
[22] CERANTOLA Y, VALERIO M, PERSSON B, et al.Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS(®)) society recommendations. Clin Nutr, 2013,32(6):879-887.
[23] CARAS RJ, LUSTIK MB, KERN SQ, et al.Preoperative albumin is predictive of early postoperative morbidity and mortality in common urologic oncologic surgeries. Clin Genitourin Cancer, 2017,15(2):e255-e262.
[24] PRUTHI RS, NIELSEN M, SMITH A, et al.Fast track program in patients undergoing radical cystectomy: results in 362 consecutive patients. J Am Coll Surg, 2010,210(1):93-99.
[25] PERSSON B, CARRINGER M, ANDRÉN O, et al. Initial experiences with the enhanced recovery after surgery (ERAS) protocol in open radical cystectomy. Scand J Urol, 2015,49(4):302-307.
[26] JEFFREY L, ROBERT A, RICHARD T, et al.Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. Anesthesiology, 2011,114(3):495-511.
[27] VANDLAC AA, COWAN NG, CHEN YY, et al.Timing, incidence and risk factors for venous thromboembolism in patients undergoing radical cystectomy for malignancy: a case for extended duration pharmacological prophylaxis. J Urol, 2014,191(4):943-947.
[28] NELSON RL, GLENNY AM, SONG FJ. Antimicrobial prophylaxis for colorectal surgery. Cochrane Database Syst Rev, 2009,5(1):CD001181
[29] STEIN JP, LIESKOVSKY G, COTE R, et al.Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients. J Clin Oncol, 2001,19(3):666-675.
[30] TANG K, LI H, XIA D, et al.Laparoscopic versus open radical cystectomy in bladder cancer: a systematic review and meta-analysis of comparative studies. PLoS One, 2014,9(5):e95667.
[31] THIELE RH, RAGHUNATHAN K, BRUDNEY CS, et al.American society for enhanced recovery (ASER) and perioperative quality initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery. Perioper Med (Lond), 2016,5(5):24.
[32] WUELLNER L, SUTTON L.Intraoperative fluid management guided by esophageal Doppler monitoring in major abdominal surgery utilizing the enhanced recovery after surgery program: a systematic review protocol. JBI Database System Rev Implement Rep, 2016,14(7):3-10.
[33] PATEL SY, GARCIA GETTING RE, ALFORD B, et al.Improved outcomes of enhanced recovery after surgery (ERAS) protocol for radical cystectomy with addition of a multidisciplinary care process in a US comprehensive cancer care center. World J Surg, 2018,42:2701-2707.
[34] LIN TX, LI KW, LIU H, et al.Enhanced recovery after surgery for radical cystectomy with ileal urinary diversion: a multi-institutional, randomized, controlled trial from the Chinese bladder cancer consortium. World J Urol, 2018,36(1):41-50.
[35] MATTEI AB, BAERMANN C, WARNCKE SH, et al.To stent or not to stent perioperatively the ureteroileal anastomosis of ileal orthotopic bladder substitutes and ileal conduits?Results of a prospective randomized trial. J Urol, 2008,179(2):582-586.
[36] 中华医学会泌尿外科学分会膀胱癌联盟加速康复外科专家协作组.根治性膀胱切除及尿流改道术加速康复外科专家共识.中华泌尿外科杂志. 2018,7(39):481-484.
[37] ADDING C, COLLINS JW, LAURIN O, et al.Enhanced recovery protocols(ERP)in robotic cystectomy surgery. Review of current status and trends. Curr Urol Rep, 2015,16(5):32-43.
[38] GÓMEZ RIVAS J, ALONSO Y GREGORIO S, CISNEROS LEDO J, et al. Early recovery protocol in patients undergoing laparoscopic radical cystectomy. Urological Science, 2017,28(1):2-5.
[39] LEE CT, CHANG SS, KAMAT AM, et al.Alvimopan accelerates gastrointestinal recovery after radical cystectomy: a multicenter randomized placebo-controlled trial. Eur Urol, 2014,66(2):265-272.
[40] KOUBA EJ, WALLEN EM, PRUTHI RS.Gum chewing stimulates bowel motility in patients undergoing radical cystectomy with urinary diversion. Urology, 2007,70(6):1053-1056.
[41] ASAO T, KUWANO H, NAKAMURA J, et al.Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. J Am Coll Surg, 2002,195(1):30-32.
[42] XU W, DANESHMAND S, BAZARGANI ST, et al.Postoperative pain management after radical cystectomy: comparing traditional versus enhanced recovery protocol pathway. J Urol, 2015,194(5):1209-1213.
[43] RAHBARI NN, ZIMMERMANN JB, SCHMIDT T, et al.Meta-analysis of standard, restrictive and supplemental fluid administration in colorectal surgery. Br J Surg, 2009,96(4):331-341.
[44] YILMAZ N, CEKMEN N, BILGIN F, et al.Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting. J Res Med Sci, 2013,18(10):827-832.
[45] HOLZHAUER C, WEIJERMAN PC, SMITS G AHJ, et al.ERAS-protocol effective for Robot-Assisted Cystectomy (RARC) standardization wanted. European Urology Supplements, 2016,15(7):222-223.