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Consensus Views on Perioperative Management of Robotic-Assisted Radical Cystectomy

  • J. W. Collins
  • A. Hosseini
  • N. P. Wiklund
Chapter

Abstract

Radical cystectomy is associated with significant morbidity and prolonged length of stay irrespective of surgical approach (Novara et al., Eur Urol 67:376–401, 2015; Gandaglia et al., Can Urol Assoc J 8:E681–E687, 2014). Enhanced recovery programs (ERPs) aim to improve surgical outcomes by reducing variation in perioperative best practices. A recent meta-analysis evaluating the impact of ERPs on patients undergoing radical cystectomy concluded that they reduce the length of stay in hospital, time-to-bowel function, and rate of complications after cystectomy (Tyson and Chang, Eur Urol 70:995–1003, 2016). Whilst ERPs are now recognized to be an important part of surgical management for radical cystectomy, there is comparatively little evidence for ERPs after Robotic assisted radical cystectomy (RARC).

Notes

Acknowledgements

This chapter has been based on an updated version of the paper previously published by the authors in European Urology. Elsevier have given permission to re-use this work for this chapter. Reference below:

Collins JW, Patel H, Adding C, Annerstedt M, Dasgupta P, Khan SM, Artibani W, Gaston R, Piechaud T, Catto JW, Koupparis A, Rowe E, Perry M, Issa R, McGrath J, Kelly J, Schumacher M, Wijburg C, Canda AE, Balbay MD, Decaestecker K, Schwentner C, Stenzl A, Edeling S, Pokupić S, Stockle M, Siemer S, Sanchez-Salas R, Cathelineau X, Weston R, Johnson M, D’Hondt F, Mottrie A, Hosseini A, Wiklund PN. Enhanced Recovery After Robot-assisted Radical Cystectomy: EAU Robotic Urology Section Scientific Working Group Consensus View. Eur Urol. 2016;70(4):649–60. Review.

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© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Karolinska University HospitalStockholmSweden

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