Multimodal Perioperative Plan for Radical Cystectomy and Intestinal Urinary Diversion. I. Effect on Recovery of Intestinal Function and Occurrence of Complications

Maffezzini, Massimo; Gerbi, Guido; Campodonico, Fabio; Parodi, Donatella

doi:10.1016/j.urology.2007.02.062

Cited by 60 publications

(43 citation statements)

References 31 publications

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“…En cuanto al alta a domicilio, revisando los estudios en los que el protocolo fast-track ha sido utilizado, encontramos los trabajos de Arumainayagam et al 6 Maffezzini et al 23 y Pruthi et al 17 y en todos ellos la estancia hospitalaria ha sido menor tras la aplicación del nuevo protocolo, coincidiendo con nuestros resultados. Arumainayagam et al 6 publicaron una reducción significativa de la estancia hospitalaria (17 vs. 13 días); para el grupo de Maffezzini et al 23 , la estancia se redujo de 22 a 15 días.…”

Section: Discussionunclassified

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Implantación de un protocolo fast-track en cistectomía radical en un hospital terciario

Ortega-Lucea

Martínez-Ubieto

Júdez-Legaristi³

et al. 2015

Actas Urológicas Españolas

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Section: Discussionunclassified

“…Arumainayagam et al 6 publicaron una reducción significativa de la estancia hospitalaria (17 vs. 13 días); para el grupo de Maffezzini et al 23 , la estancia se redujo de 22 a 15 días.…”

Section: Discussionunclassified

Implantación de un protocolo fast-track en cistectomía radical en un hospital terciario

Ortega-Lucea

Martínez-Ubieto

Júdez-Legaristi³

et al. 2015

Actas Urológicas Españolas

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“…Prolonged POI is a frequent complication after cystectomy and identified as a major cause of prolonged LOS [12,24]. Usually the NGT is removed after first bowel movements.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, it has been suggested that EEN as compared to total parenteral nutrition (TPN) may reduce the duration of POI and subsequent postoperative complications and hospital stay in these patients [12]. …”

Section: Introductionmentioning

confidence: 99%

Short-Term Outcome after Cystectomy: Comparison of Two Different Perioperative Protocols

Vries¹,

Kauer

Poel³

et al. 2012

Urol Int

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Aim: To compare the outcome of two perioperative protocols with respect to postoperative management of cystectomy patients. Patients and Methods: Between June 2007 and November 2008, 85 consecutive patients with bladder cancer were treated with cystectomy and urinary diversion. Patients were operated in two hospitals by four urologic surgeons. In protocol A, patients were enterally fed via a postpyloric tube while the nasogastric tube (NGT) was removed directly after cystectomy and selective decontamination of the digestive tract was given until normal oral intake. In protocol B, postcystectomy management consisted of total parenteral nutrition by a central venous line and NGT removal after 24 h. Hospital stay and complications were compared between the two hospitals. Results: More than half of all patients (52%) developed one or more complications within 30 days after surgery, 37% in protocol A and 71% in protocol B (p = 0.002). Higher ASA score and protocol type were the only factors significantly associated with early complications in both uni- and multivariate analyses. Length of stay was significantly shorter with protocol A as compared to protocol B, 13 days versus 19 days (p = 0.006). Conclusions: Cystectomy and urinary diversion is a procedure with considerable risk of complications. Enteral nutrition might be advantageous as compared to parenteral nutrition, showing fewer complications and shorter hospital stay. A high ASA score is associated with more early complications. Selective bowel decontamination may have an additional role in preventing infectious complications after cystectomy.

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“…A number of complications can occur following the construction of an orthotopic neobladder, including urine incontinence, pyelonephritis (7.4%), stricture at the ileourethral or ileoureteral anastomosis sites (3.3 and 3%, respectively), as well as neobladder-enteral fistulas (1.1%) [8][9][10] . Haematuria may present during follow-up as a result of an upper urinary tract recurrence of the primary bladder cancer, which has been reported in up to 6% of cases [5] , pouch infection and stones [11] .…”

Section: Discussionmentioning

confidence: 99%

Fatal Haematuria in a Patient with an Orthotopic Neobladder and Chronic Liver Failure

Oderda¹,

Mondino²,

Lucca³

et al. 2009

Urol Int

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Multimodal Perioperative Plan for Radical Cystectomy and Intestinal Urinary Diversion. I. Effect on Recovery of Intestinal Function and Occurrence of Complications

Cited by 60 publications

References 31 publications

Implantación de un protocolo fast-track en cistectomía radical en un hospital terciario

Implantación de un protocolo fast-track en cistectomía radical en un hospital terciario

Short-Term Outcome after Cystectomy: Comparison of Two Different Perioperative Protocols

Fatal Haematuria in a Patient with an Orthotopic Neobladder and Chronic Liver Failure

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