当前位置： SCI文献检索 > WORLD JOURNAL OF UROLOGY期刊下所有文献 > Early recovery after surgery for radical cystectomy: comprehensive assessment and meta-analysis of existing protocols.

Early recovery after surgery for radical cystectomy: comprehensive assessment and meta-analysis of existing protocols.

Abstract：

PURPOSE:Different enhanced recovery after surgery (ERAS) protocols (EP) for radical cystectomy (RC) have been published. Protocols highly differ in number of included items and specific measures. MATERIALS AND METHODS:A systematic review and meta-analysis on EPs in RC were performed using the databases MedLine, Cochrane Library, Web of science, and Google Scholar. The specific ERAS measures of the protocols were extracted, analyzed, and compared. Pooling of available outcome data was performed for length of stay, complications, readmission rate, and time to defecation. RESULTS:The search yielded a total of 860 studies of which 25 studies were included in qualitative and 22 in quantitative analysis. Oral bowel preparation (BP) was omitted in 24/25 (96%) EPs, optimized fluid management was administered in 22/25 (88%) EPs and early mobilization (postoperative day 1) in 21/25 (84%). Gum chewing (n = 12, 46%), metoclopramide (n = 11, 44%), and alvimopan (n = 6, 24%) were the most common measures to prevent postoperative ileus. Our meta-analysis revealed a significant benefit in favor of EPs for the outcome parameters length of stay [mean difference (MD) - 3.46 d, 95% confidence interval (CI) - 4.94 to - 1.98, p < 0.01], complications [Odds ratio (OR) = 0.76, 95% CI 0.61-0.94, p = 0.01] and time to defecation (MD - 1.37 d, 95% CI - 2.06 to - 0.69, p < 0.01). Readmission rate did not show a significant difference (OR = 0.73, 95% CI 0.52-1.03, p = 0.07). CONCLUSION:Current EPs focus on omitting oral BP, early mobilization, and optimized fluid management while they differ in methods preventing postoperative ileus. Our meta-analysis revealed a benefit in introducing these protocols into clinical practice.

journal_name

World J Urol

journal_title

World journal of urology

authors

Wessels F,Lenhart M,Kowalewski KF,Braun V,Terboven T,Roghmann F,Michel MS,Honeck P,Kriegmair MC

doi

10.1007/s00345-020-03133-y

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

3139-3153

issue

12

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-020-03133-y

journal_volume

38

pub_type

杂志文章

相关文献

WORLD JOURNAL OF UROLOGY文献大全
  • Orchialgia after laproscopic renal surgery: a common problem with questionable etiology. Are there any predictors?

    abstract：PURPOSE:Orchialgia after laproscopic renal surgery has been rarely reported in literature, and gonadal vein ligation is considered the main etiology. Our objective was to study the incidence, intensity and to find out any specific factors that could lead to orchialgia. MATERIALS AND METHODS:All patients planned for la...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-012-0864-7

    authors： Srivastava A,Kapoor R,Srivastava A,Ansari MS,Singh M,Kapoor R

    更新日期：2013-10-01 00:00:00

  • Prophylactic abdominal or retroperitoneal drain placement in major uro-oncological surgery: a systematic review and meta-analysis of comparative studies on radical prostatectomy, cystectomy and partial nephrectomy.

    abstract：PURPOSE:To systematically analyze the impact of prophylactic abdominal or retroperitoneal drain placement or omission in uro-oncologic surgery. METHODS:This systematic review follows the Cochrane recommendations and was conducted in line with the PRISMA and the AMSTAR-II criteria. A comprehensive database search inclu...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-019-02978-2

    authors： Kowalewski KF,Hendrie JD,Nickel F,von Hardenberg J,Nuhn P,Honeck P,Michel MS,Kriegmair MC

    更新日期：2020-08-01 00:00:00

  • Gene therapy for prostate cancer at the University of California, Los Angeles: preliminary results and future directions.

    abstract：:The treatment options for patients with advanced prostate cancer are limited. Because of recent advances in the understanding of the molecular biology of prostate cancer, the accessibility of the prostate for injection, and the availability of gene promotors that allow tissue-specific expression of therapeutic gene pr...

    journal_title：World journal of urology

    pub_type： 杂志文章,评审

    doi：10.1007/s003450050187

    authors： Pantuck AJ,Zisman A,Belldegrun AS

    更新日期：2000-04-01 00:00:00

  • Radical retropubic prostatectomy versus brachytherapy for low-risk prostatic cancer: a prospective study.

    abstract：OBJECTIVES:To compare the oncological and functional outcomes reported after radical retropubic prostatectomy (RRP) versus brachytherapy (BT) in the treatment of low-risk prostatic cancer (CaP). METHODS:Between May 1999 and October 2002, 200 patients (mean age 65.3 +/- 8.7) were enrolled and randomized into two groups...

    journal_title：World journal of urology

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00345-009-0418-9

    authors： Giberti C,Chiono L,Gallo F,Schenone M,Gastaldi E

    更新日期：2009-10-01 00:00:00

  • Effect of pelvic floor muscle contraction on vesical and rectal function with identification of puborectalis-rectovesical inhibitory reflex and levator-rectovesical excitatory reflex.

    abstract：:The effects of pelvic floor muscle contraction on rectal and vesical function were studied in 19 healthy volunteers with the aim of shedding light on some of the hitherto vague aspects of the mechanisms involved in micturition and defecation and their disorders. Rectal and vesical pressures were recorded during pubore...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s003450100218

    authors： Shafik A,El-Sibai O

    更新日期：2001-08-01 00:00:00

  • Accelerated Skills Acquisition Protocol (ASAP) in optimizing robotic surgical simulation training: a prospective randomized study.

    abstract：PURPOSE:To assess the efficacy of an accelerated proficiency-based training protocol in robotic simulation practice in delivering durable proficiency compared to conventional training methods. METHODS:Novice medical students (n = 16) were randomized into either the accelerated skills acquisition protocol (ASAP) or con...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-019-02858-9

    authors： Gurung PMS,Campbell T,Wang B,Joseph JV,Ghazi AE

    更新日期：2020-07-01 00:00:00

  • The role of chemotherapy and radiation in organ-preservation strategies for muscle-invasive bladder cancer.

    abstract：:Radical cystectomy with pelvic lymph node dissection has been accepted as the standard treatment for muscle-invasive bladder cancer. Radiation therapy and chemotherapy are increasingly being implemented in bladder-preservation protocols to provide an alternative treatment to cystectomy. We review experience with radia...

    journal_title：World journal of urology

    pub_type： 杂志文章,评审

    doi：10.1007/s00345-002-0276-1

    authors： Bradley BA,Wajsman Z

    更新日期：2002-08-01 00:00:00

  • Establishing and monitoring of urethral sphincter deficiency in a large animal model.

    abstract：BACKGROUND:Different methods for induction and monitoring of urethral sphincter deficiency were explored in a large animal model. METHODS:Sphincter deficiency was established in female pigs by dilatation and cauterization, and amount and frequencies of voiding were monitored and explored by pad test. Sphincteric closu...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-017-2088-3

    authors： Kelp A,Albrecht A,Amend B,Klünder M,Rapp P,Sawodny O,Stenzl A,Aicher WK

    更新日期：2017-12-01 00:00:00

  • Diagnostic efficacy of transrectal ultrasound-guided biopsy of the prostatic fossa in patients with rising PSA following radical prostatectomy.

    abstract：:To evaluate the diagnostic efficacy of transrectal ultrasound (TRUS)-guided biopsy of the prostatic fossa in men with biochemical relapse following radical retropubic prostatectomy (RP). Thirty patients, with detectable prostate specific antigen (PSA) and negative imaging for metastases after RP, were evaluated for lo...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-007-0167-6

    authors： Deliveliotis C,Manousakas T,Chrisofos M,Skolarikos A,Delis A,Dimopoulos C

    更新日期：2007-06-01 00:00:00

  • Manganese dioxide coating reduces bacterial adhesion and infection in silicon implants in animal model.

    abstract：PURPOSE:To propose a new coating to silicone implants using Manganese dioxide. We present bacterial adhesion and proliferation when implants are challenged with Escherichia coli. METHODS:Coated and control silicon implants were placed in two independent subcutaneous pouches in the dorsum of Wistar rats. After skin clo...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-019-02856-x

    authors： Gon LM,de Campos CCC,Riccetto E,Levy CE,Griguol O,Riccetto CLZ

    更新日期：2020-03-01 00:00:00

  • High NF-κB and STAT3 activity in human urothelial carcinoma: a pilot study.

    abstract：PURPOSE:Given that the tumor-promoting inflammation has been previously established in squamous cell carcinoma of the bladder but its contribution to development of urothelial carcinoma (UC) still remains elusive, our aim was to study changes in expression and activity of inflammation-mediating NF-κB and STAT3 transcri...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-014-1237-1

    authors： Degoricija M,Situm M,Korać J,Miljković A,Matić K,Paradžik M,Marinović Terzić I,Jerončić A,Tomić S,Terzić J

    更新日期：2014-12-01 00:00:00

  • Is there a clinical benefit from prostate cancer center certification? An evaluation of functional and oncologic outcomes from 22,649 radical prostatectomy patients.

    abstract：PURPOSE:To explore whether patients undergoing radical prostatectomy at a German Cancer Society (DKG: Deutsche Krebsgesellschaft) certified center (CC) have superior functional and surgical outcomes compared to patients undergoing radical prostatectomy at a non-certified hospital (nCC). METHODS:A retrospective cohort ...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-020-03411-9

    authors： Butea-Bocu MC,Müller G,Pucheril D,Kröger E,Otto U

    更新日期：2020-08-26 00:00:00

  • Assessment of the effects of autologous muscle-derived cell injections on urethral sphincter morphometry using 3D/4D ultrasound.

    abstract：PURPOSE:The primary objective was to evaluate the effect of autologous muscle-derived cell (AMDC) injections on the urethral sphincter morphometry compared to placebo injections. Secondary aims were to explore the reduction of stress incontinence episode frequency (IEF) and factors associated with the efficacy of AMDC....

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-020-03076-4

    authors： Ismail S,Morin M,Tu LM

    更新日期：2020-11-01 00:00:00

  • The Urological Dyna-CT: ex vivo feasibility study of interventional cross-sectional imaging in the endourological operation room.

    abstract：BACKGROUND:Imaging of the urinary tract and its surrounding tissue still remains challenging, since standard imaging in the urological operation room consists of fluoroscopy and plain X-rays. The combination of a ceiling-mounted X-ray system and a new urological intervention table now allows cross-sectional imaging and...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-012-0951-9

    authors： Michel MS,Ritter M,Wertz H,Schönberg S,Häcker A,Weisser G

    更新日期：2014-02-01 00:00:00

  • Gender effect on renal outcome in patients with urothelial carcinoma.

    abstract：PURPOSE:Taiwan is a highly endemic area for urothelial carcinoma (UC) and chronic kidney disease (CKD). We evaluate the gender effect on the relationship between renal outcome and clinical characteristics of CKD patients with UC. METHODS:The clinical and pathologic records of 404 patients were retrospectively analyzed...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-011-0682-3

    authors： Hung PH,Shen CH,Tsai HB,Hsiao CY,Chiang PC,Guo HR,Hung KY

    更新日期：2011-08-01 00:00:00

  • Systematic review and meta-analysis comparing Adjustable Transobturator Male System (ATOMS) and male Readjustment Mechanical External (REMEEX) system for post-prostatectomy incontinence.

    abstract：OBJECTIVE:To assess the efficacy and safety of Adjustable Transobturator Male System (ATOMS) compared to male Readjustment Mechanical External (REMEEX) system for post-prostatectomy incontinence (PPI). MATERIAL AND METHODS:A systematic review and meta-analysis on adjustable device ATOMS compared to male REMEEX is pres...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-020-03300-1

    authors： Angulo JC,Ruiz S,Lozano M,Arance I,Virseda M,Lora D

    更新日期：2020-06-11 00:00:00

  • The muscarinic receptor antagonist propiverine exhibits α(1)-adrenoceptor antagonism in human prostate and porcine trigonum.

    abstract：PURPOSE:Combination therapy of male lower urinary tract symptoms with α(1)-adrenoceptor and muscarinic receptor antagonists attracts increasing interest. Propiverine is a muscarinic receptor antagonist possessing additional properties, i.e., block of L-type Ca(2+) channels. Here, we have investigated whether propiverin...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-011-0655-6

    authors： Wuest M,Witte LP,Michel-Reher MB,Propping S,Braeter M,Strugala GJ,Wirth MP,Michel MC,Ravens U

    更新日期：2011-04-01 00:00:00

  • Transforming growth factor-beta localization during mouse prostate morphogenesis and in prostatic growth abnormalities.

    abstract：:Growth and morphogenesis of the prostate involves mesenchymal-epithelial interactions. Transforming growth factor-beta 1 (TGF-beta1) is one growth factor that may play a role in these paracrine interactions. We have localized TGF-beta1 by molecular and immunohistochemical analysis in the developing mouse prostate. Acc...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/BF00191212

    authors： Timme TL,Yang G,Truong LD,Kadmon D,Park SH,Thompson TC

    更新日期：1995-01-01 00:00:00

  • Does bipolar energy provide any advantage over monopolar surgery in transurethral resection of non-muscle invasive bladder tumors? A systematic review and meta-analysis.

    abstract：OBJECTIVE:To provide most recent and high quality evidence concerning the comparison between monopolar and bipolar transurethral resection of non-muscle invasive bladder tumors. MATERIALS AND METHODS:Two researchers performed a systematic review of the current literature independently, to identify studies published in...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-020-03313-w

    authors： Tzelves L,Mourmouris P,Skolarikos A

    更新日期：2020-06-26 00:00:00

  • An alternative procedure for the creation of an ileal conduit in patients undergoing pelvic exenteration: dextrotransmesenteric location.

    abstract：:Ileal conduits have long been accepted as a standard method for urinary diversion, but conventional ileal conduits are not always suitable for patients whose ureters are for the greater part compromised by neoplasm or preoperative irradiation, resulting in a shortening of the ureters. Bowel migration into the large ca...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s003450050092

    authors： Hatano T,Hayakawa M,Koyama Y,Sugaya K,Miyazato T,Ogawa Y

    更新日期：1998-01-01 00:00:00

  • Renal function and oncologic outcomes in nephron sparing surgery for renal masses in solitary kidneys.

    abstract：INTRODUCTION:With low life expectancy rates in hemodialysis patients, the preservation of renal parenchyma must be weighed against the oncological outcomes in considering partial nephrectomy (PN) in solitary kidneys. The main objective of this study was to assess the oncologic and functional outcomes after PN in patien...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-010-0576-9

    authors： Lee DJ,Hruby G,Benson MC,McKiernan JM

    更新日期：2011-06-01 00:00:00

  • A population-based survey of lower urinary tract symptoms (LUTS) and symptom-specific bother: results from the Brazilian LUTS epidemiology study (BLUES).

    abstract：PURPOSE:To examine the prevalence of lower urinary tract symptoms (LUTS) and the bother they impose in a population-based sample of adults in Brazil. METHODS:A cross-sectional population-based survey was conducted between September 2006 and January 2007 in the city of Salvador, Brazil. Cluster samples of representativ...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-013-1057-8

    authors： Moreira ED Jr,Neves RC,Neto AF,Duarte FG,Moreira TL,Lobo CF,Glasser DB

    更新日期：2013-12-01 00:00:00

  • Familial risk of urological cancers: data for clinical counseling.

    abstract：:Familial risks for cancer are important for clinical counseling and understanding cancer etiology. The nationwide Swedish Family-Cancer Database includes all Swedes born in 1932 and later (0 to 68-year-old offspring) with their parents, totaling over 10.2 million individuals. Urological cancer cases were retrieved fro...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-003-0375-7

    authors： Hemminki K,Li X,Czene K

    更新日期：2004-02-01 00:00:00

  • Biopsy standards for detection of prostate cancer.

    abstract：:The widespread use of measurement of prostate-specific antigen for prostate cancer screening has led to a dramatic increase in the number of transrectal biopsies. Although transrectal ultrasound-guided prostate biopsy is the gold standard in the diagnosis of prostate cancer, the strategies for initial and repeat biops...

    journal_title：World journal of urology

    pub_type： 杂志文章,评审

    doi：10.1007/s00345-007-0151-1

    authors： Djavan B,Margreiter M

    更新日期：2007-03-01 00:00:00

  • Association of training level and outcome of software-based image fusion-guided targeted prostate biopsies.

    abstract：PURPOSE:The aim of this study was to assess the impact of experience on the outcome of image fusion-guided prostate biopsies performed by urologists working at a high-volume medical center. METHODS:The first 210 consecutive fusion biopsies were analyzed following installation of the software-based biopsy platform Arte...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-018-2605-z

    authors： Westhoff N,Haumann H,Kriegmair MC,von Hardenberg J,Budjan J,Porubsky S,Michel MS,Honeck P,Ritter M

    更新日期：2019-10-01 00:00:00

  • A new urethral catheterisation device (UCD) to manage difficult urethral catheterisation.

    abstract：:The cost of urethral catheterisation injury (UCI) is significant, but the true incidence of patient care error is difficult to establish in the absence of specific hospital codes recording difficult urethral catheterisation (DUC) and UCI. For many years urologists are familiar passing a non-traumatic hydrophilic guide...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-018-2499-9

    authors： Bugeja S,Mistry K,Yim IHW,Tamimi A,Roberts N,Mundy AR

    更新日期：2019-04-01 00:00:00

  • Risk factors affecting post-pubertal high serum follicle-stimulating hormone in patients with hypospadias.

    abstract：PURPOSE:The factors affecting spermatogenesis in adulthood in patients with hypospadias (HS) are not clearly understood. In the present study, risk factors affecting post-pubertal high serum follicle-stimulating hormone (FSH) were evaluated in patients with HS. MATERIALS AND METHODS:Among those with a history of HS su...

    journal_title：World journal of urology

    pub_type： 杂志文章

    doi：10.1007/s00345-019-02687-w

    authors： Moriya K,Nakamura M,Kon M,Nishimura Y,Kanno Y,Kitta T,Shinohara N

    更新日期：2019-12-01 00:00:00

  • The rationale and the role of lymph node dissection in renal cell carcinoma.

    abstract：PURPOSE:Although the role of lymph node dissection (LND) is well defined in many urological settings, uncertainty regarding need for LND still exists for patients with renal cell carcinoma (RCC). The aim of the current review is to highlight the rationale for performing or omitting LND at the time of renal surgery. ME...

    journal_title：World journal of urology

    pub_type： 杂志文章,评审

    doi：10.1007/s00345-016-1886-3

    authors： Capitanio U,Leibovich BC

    更新日期：2017-04-01 00:00:00

  • MRI-targeted biopsies: What's next?

    abstract：: ...

    journal_title：World journal of urology

    pub_type： 社论

    doi：10.1007/s00345-019-02659-0

    authors： Ploussard G,Briganti A

    更新日期：2019-02-01 00:00:00

  • Controlled, double-blind, multicentre clinical trial to investigate long-term tolerability and efficacy of trospium chloride in patients with detrusor instability.

    abstract：:Our objectives were to ascertain the tolerability and efficacy of trospium chloride in doses of 20 mg twice daily for long-term therapy (52 weeks) in patients with urge syndrome. The trial comprised a total of 358 patients with urge syndrome or urge incontinence. After randomisation in the ratio of 3:1, participants w...

    journal_title：World journal of urology

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00345-003-0321-8

    authors： Halaska M,Ralph G,Wiedemann A,Primus G,Ballering-Brühl B,Höfner K,Jonas U

    更新日期：2003-05-01 00:00:00