Saratov JOURNAL of Medical and Scientific Research

Principles of the program of enhanced recovery of patients after radical prostatectomy

Year: 2019, volume 15 Issue: №2 Pages: 324-327
Heading: Urology Article type: Review
Authors: Pavlov V.N., Tarasenko A.I., Korelov Yu.A., Maksimova S.Yu., Khotko D.N., Khotko A.I.
Organization: Bashkir State Medical University of the Russian Health Care, I.M. Sechenov First Moscow State Medical University, Saratov State Medical University

Analysis of statistical data on cancer incidence shows a high prevalence of such diseases as prostate cancer. The existing methods of treatment of this pathology are efective, but the question of reducing the surgical stress of patients who underwent surgery, reducing the number of complications, early mobilization and early recovery remains relevant. The presented literary review reveals the provisions proposed in the XX century, multimodal strategy «Fast track sur-gery», revealing the tactics of surgical patients throughout the perioperative period. The application of this protocol shows its efectiveness in reducing the duration of hospitalization and early rehabilitation of the considered group of patients.

1 Chissov VI, Rusakov IG. The incidence of prostate cancer in the Russian Federation. Experimental and clinical urology 2011; 2-3: 6–7
2 Fomkin RN, Voronina ES, Popkov VM, et al. Three-year results of the treatment of localized prostate cancer using high-intensity focused ultrasound. Urology 2014; 1: 37–43
3 Huland H, Murphy G, Denis L. Treatment of localized disease: treatment of clinically localized prostate cancer (T1 / T2). In: Proceedings of the First International Consultation on Prostate Cancer / Scientifc Communication International, Jersey, Channel Islands, 1997; p. 227–57
4 Ovechkin AM. Surgical stress response, its patho-physiological signifcance and modulation methods. Regional anesthesia and treatment of acute pain 2008; 2: 49–62
5 Popping DM, Elia N, Van Aken HK, et al. Impact of epidural analgesia on mortality and morbidity after surgery: systematic review and meta-analysis of randomized controlled trials. Annals of Surgery 2014; 259 (6): 1056–67
6 Mazitova MI, Mustafn ER. Fast track surgery is a multimodal strategy for the management of surgical patients. Kazan State Medical Academy, Kazan medical journal 2012; 5: 799–802
7 Ishchenko AI, Aleksandrov LS, Ishchenko AA, et al. Multimodal strategy for the management of surgical patients (fast track surgery). The archive of obstetrics and gynecolo-gy n. a. V. F. Snegirev 2017; 4: 172–7
8 Sobetova GV, Davydova NS, Davydova YuA, et al. Outpatient anesthesiology — state of the art. Ural medical journal 2014; 6: 46–52
9 Simacheva SA. Implementation of the concept of fast track surgery in gynecological patients in a University clinic. Tauride Medical and Biological Bulletin 2014; 2: 119–22
10 Song W, Wang K, Run Z, et al. The enhanced recovery after surgery (ERAS) program in liver surgery: a meta-analysis of randomized controlled trials. Springer Plus 2016; 5: 207
11 Kehlet H & Wilmore DW. The American Journal of Surgery 2002; 183 (6): 630–41
12 Carter J, Philp S. A 5-Year Review of Gynaecological Oncology Patients Managed by a Fast Track Surgery Program, International Journal of Clinical Medicine 2014; 5 36–41
13 Tonnesen H, Rosenberg J, Nielsen HJ, et al. Efect of preoperative abstinence on poor postoperative outcome in alcohol misusers: randomised controlled trial. British Medical Journal 1999; 7194: 1311–6
14 Lindstrom D, Sadr Azodi O, Wladis A, et al. Efects of a perioperative smoking cessation intervention on postoperative complications: a randomized trial. Annals of Surgery 2008; 248 (5): 739–45
15 Ljungqvist O, Soreide E. Preoperative fasting. British Journal of Surgery 2003; 90 (4): 400–6
16 Van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients. N Engl J Med 2001; 345: 1359–67.
17 Brady M, Kinn S, Ness V, et al. Preoperative fasting for preventing perioperative complications in children. Cochrane Database Syst Rev 2009; 4
18 Smith I, et al. Introduction of an Enhanced Recovery after Surgery Protocol for Robot-Assisted Laparoscopic Radical Prostatectomy. Eur J Anaesthesiol 2011; 8: 556–69
19 Mahajna A, Krausz M, Rosin D, et al: Bowel preparation is associated with spillage of bowel contents in colorectal surgery. Dis Colon Rectum 2005; 48: 1626–31
20 Bucher P, Gervaz P, Egger J, et al. Morphologic alteration associated with mechanical bowel preparation before elective colorectal surgery: a randomized trial. Dis Colon Rectum 2006; 49: 109–12
21 Zonea P, Stigler J, Maly T, et al. Do we really apply fast track surgery? Bratislava Medical Journal 2008; 109 (2): 61–5
22 Frantzides CT, Welle SN, Ruf TM, Frantzides AT. Routine anticoagulation for venous thromboembolism prevention following laparoscopic gastric bypass. JSLS 2012; 16 1: 33–7
23 Snegirev VF, Ishchenko AI, Alexandrov LS, et al. Mul-timodal strategy of management of patients with surgical profle (fast track surgery). Archive of obstetrics and gynecology 2017; 4 (4): 172–7
24 Kurz A. Physiology of thermoregulation. Best Pract Res Clin Anaesthesiol 2008; 22: 627–44
25 Kehlet H, Bundgaard-Nielsen M. Goal-directed periop-erative fuid management: why, when, and how? Anesthesiology 2009; 3: 453–5
26 Barber EL, Van Le L. Enhanced recovery pathways in gynecology and gynecologic oncology. Obstet Gynecol Surv 2015; 70 12: 780–92
27 Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 1997; 78: 608–17
28 Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ 2001; 322: 473–6
29 Paton F, Chambers D, Wilson P, Eastwood A, Craig D, et al. Efectiveness and implementation of enhanced recovery after surgery programmes: a rapid evidence synthesis. BMJ 2014
30 Gralla O, Haas F, Knoll N, et al. Fast-track surgery in laparoscopic radical prostatectomy: basic principles. World Journal of Urology 2007; 25 (2): 185–91
31 Gralla O, Buchser M, Haas F, et al. Fast-track lapa-roscopic radical prostatectomy. Urology Journal 2008; 47 (6): 712–7
32 Huang Z, Yi L, Zhong Z, et al. Comparison of Fast-Track Versus Conventional Surgery Protocol for Patients Undergoing Robot-Assisted Laparoscopic Radical Prostatectomy: A Chinese Experience. Scientifc Reports 2018; 1: 8017
33 Sugi M, Matsuda T, Yoshida T, et al. Introduction of an Enhanced Recovery after Surgery Protocol for Robot- Assisted Laparoscopic Radical Prostatectomy. Urologia Internationalis 2017; 99 (2): 194–200.

2019_02_324-327.pdf274.46 KB

No votes yet