Fast track for partial nephrectomy

Носов, А. К.; Петров, С. Б.; Лушина, П.; Berkut, M.; Семенов, А. В.; Saad, Abdulhassan

doi:10.17650/1726-9776-2019-15-3-47-55

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…A total of 1263 associated articles were searched, and 35 articles were finally obtained through screening ( 11 – 45 ), of which 19 were retrospective cohort studies and 16 were RCTs. A total of 3171 patients were involved in the 35 literature, with 1632 patients in the ERAS group and 1539 patients in the usual care group.…”

Section: Resultsmentioning

confidence: 99%

Application of enhanced recovery after surgery in partial nephrectomy for renal tumors: A systematic review and meta-analysis

Tianyi²,

Ma³

et al. 2023

Front. Oncol.

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ObjectivesIn recent years, enhanced recovery after surgery (ERAS) has been widely used in the field of urology, especially in radical cystectomy and radical prostatectomy, and has demonstrated its advantages. Although studies on the application of ERAS in partial nephrectomy for renal tumors are increasing, the conclusions are mixed, especially in terms of postoperative complications, etc, and its safety and efficacy are questionable. We conducted a systematic review and meta-analysis to assess the safety and efficacy of ERAS in the application of partial nephrectomy for renal tumors.MethodsPubmed, Embase, Cohrance library, Web of science and Chinese databases (CNKI, VIP, Wangfang and CBM) were systematically searched for all published literature related to the application of enhanced recovery after surgery in partial nephrectomy for renal tumors from the date of establishment to July 15, 2022, and the literature was screened by inclusion/exclusion criteria. The quality of the literature was evaluated for each of the included literature. This Meta-analysis was registered on PROSPERO (CRD42022351038) and data were processed using Review Manager 5.4 and Stata 16.0SE. The results were presented and analyzed by weighted mean difference (WMD), Standard Mean Difference (SMD) and risk ratio (RR) at their 95% confidence interval (CI). Finally, the limitations of this study are analyzed in order to provide a more objective view of the results of this study.ResultsThis meta-analysis included 35 literature, including 19 retrospective cohort studies and 16 randomized controlled studies with a total of 3171 patients. The ERAS group was found to exhibit advantages in the following outcome indicators: postoperative hospital stay (WMD=-2.88, 95% CI: -3.71 to -2.05, p<0.001), total hospital stay (WMD=-3.35, 95% CI: -3.73 to -2.97, p<0.001), time to first postoperative bed activity (SMD=-3.80, 95% CI: -4.61 to -2.98, p < 0.001), time to first postoperative anal exhaust (SMD=-1.55, 95% CI: -1.92 to -1.18, p < 0.001), time to first postoperative bowel movement (SMD=-1.52, 95% CI: -2.08 to -0.96, p < 0.001), time to first postoperative food intake (SMD=-3.65, 95% CI: -4.59 to -2.71, p<0.001), time to catheter removal (SMD=-3.69, 95% CI: -4.61 to -2.77, p<0.001), time to drainage tube removal (SMD=-2.77, 95% CI: -3.41 to -2.13, p<0.001), total postoperative complication incidence (RR=0.41, 95% CI: 0.35 to 0.49, p<0.001), postoperative hemorrhage incidence (RR=0.41, 95% CI: 0.26 to 0.66, p<0.001), postoperative urinary leakage incidence (RR=0.27, 95% CI: 0.11 to 0.65, p=0.004), deep vein thrombosis incidence (RR=0.14, 95% CI: 0.06 to 0.36, p<0.001), and hospitalization costs (WMD=-0.82, 95% CI: -1.20 to -0.43, p<0.001).ConclusionERAS is safe and effective in partial nephrectomy of renal tumors. In addition, ERAS can improve the turnover rate of hospital beds, reduce medical costs and improve the utilization rate of medical resources.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier CRD42022351038.

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Section: Resultsmentioning

confidence: 99%

Application of enhanced recovery after surgery in partial nephrectomy for renal tumors: A systematic review and meta-analysis

Tianyi²,

Ma³

et al. 2023

Front. Oncol.

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“…В указанном исследовании 26 пациентам экспериментальной группы проведение ятрогенно индуцированной ОНКОУРОЛОГИЯ 2'2020 ТОм 16 CANCER UROLOGY 2'2020 VOL. 16 гипотонии было противопоказано из-за выраженной сопутствующей патологии, и резекцию почки без ишемии выполняли при нормальном уровне артериального давления [15].…”

Section: Discussionunclassified

Normotension — new approach in laparoscopic partial nephrectomy

et al. 2020

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Резекция почки минимально-инвазивным способом является «золотым стандартом» в лечении злокачественных опухолей I стадии. На сегодняшний день существует большое количество методик выполнения резекции почки. Желание разработать технику операции, которая бы включала все положительные характеристики и не имела ограничений в использовании, привело к созданию нормотонической резекции почки без ишемии.

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Laparoscopic partial nephrectomy: results of various surgery techniques

et al. 2022

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This article discusses the main approaches to performing laparoscopic partial nephrectomy. For the method using warm ischemia, the main studies related to the time of warm ischemia and its effect on renal function have been analyzed. The basic techniques for operations united by the general name zero ischemia kidney resection are also considered. The main positive and negative aspects of induced hypotension are described. The article presents the authors’ own experience in performing normotonic laparoscopic partial nephrectomy.

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Fast track for partial nephrectomy

Cited by 4 publications

References 15 publications

Application of enhanced recovery after surgery in partial nephrectomy for renal tumors: A systematic review and meta-analysis

Application of enhanced recovery after surgery in partial nephrectomy for renal tumors: A systematic review and meta-analysis

Normotension — new approach in laparoscopic partial nephrectomy

Laparoscopic partial nephrectomy: results of various surgery techniques

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