ERAS protocol in minimal invasive urological surgery

Abstract

Radical cystectomy is the standard treatment for muscle-invasive bladder cancer. However, the procedure is associated with high complication rate up to 60%. Most of the patients have high surgical risk with advanced age and multiple comorbidities. Operation procedure is technically demanding. Hemorrhage, infection, bowel-related complications are common after radical cystectomy. Enhanced recovery after surgery (ERAS) protocol has been used in colorectal surgery and has been proven to reduce complication rates and shorten hospital stay. In recent years, many centres has implemented ERAS on patients undergoing radical cystectomy with good results. This chapter will review the current evidence and different aspects of ERAS.