Fast-track Surgery in Laparoscopic Radical Prostatectomy: Basic Principles

Overview

Journal World J Urol

Specialty Urology

Date 2006 Dec 16

PMID 17171563

Citations 21

Authors

O Gralla

F Haas

N Knoll

D Hadzidiakos

M Tullmann

A Romer

S Deger

V Ebeling

M Lein

A Wille

B Rehberg

S A Loening

J Roigas

Affiliations

Soon will be listed here.

Abstract

Fast-track surgery describes innovative treatment concepts ensuring a faster convalescence phase. The aim of this study was to allow hospital discharge 3 days after surgery without additional complications in patients receiving LRPE for localized prostate cancer. Twenty-five patients each were randomized in the study groups to verify if a fast-track regimen could be transferred into clinical routine. The perioperative data, early complications, hospital stay as well as readmission rate were analyzed. The mean postoperative stay was 3.6 days in the fast-track group versus 6.7 days in the conventional group. The overall complications were significantly less in the fast-track procedure. The readmission rate was low and not significant. Patients receiving an LRPE benefit from a suitable fast-track concept. The postoperative hospital stay could be shortened nearly by half with a significantly decreased overall complication rate. Thus, fast-track concepts might contribute to saving resources in the long term. However, more evidence based on larger prospective trials is needed to achieve optimal quality of life for patients perioperatively.

Citing Articles

Effect of fast-track surgery on postoperative wound pain in patients with prostate cancer: A meta-analysis.

Fan S, Liu H, Zhu Y, Zheng Z, Cui Q Int Wound J. 2023; .

PMID: 37737032 PMC: 10824699. DOI: 10.1111/iwj.14417.

A Scientometric Analysis and Visualization Discovery of Enhanced Recovery After Surgery.

Zhang M, Wang X, Chen X, Song Z, Wang Y, Zhou Y Front Surg. 2022; 9:894083.

PMID: 36090333 PMC: 9450939. DOI: 10.3389/fsurg.2022.894083.

Study on the Application Effect of Fast Track Surgery Care Combined With Continuous Care After Discharge in Patients With Laparoscopic Cholecystectomy.

Yu J, Lin X, Chen H Front Surg. 2022; 9:848234.

PMID: 35265663 PMC: 8898931. DOI: 10.3389/fsurg.2022.848234.

Effects of enhanced recovery after surgery on robotic radical prostatectomy: a systematic review and meta-analysis.

Xing J, Wang J, Liu G, Jia Y Gland Surg. 2022; 10(12):3264-3271.

PMID: 35070886 PMC: 8749100. DOI: 10.21037/gs-21-699.

Comparison between epidural technique and mid-axillary ultrasound-guided TAP block for postoperative analgesia of laparoscopic radical prostatectomy: a quasi-randomized clinical trial.

Tejedor A, Deiros C, Garcia M, Vendrell M, Gomez N, Gomez E Braz J Anesthesiol. 2021; 72(2):253-260.

PMID: 33915192 PMC: 9373262. DOI: 10.1016/j.bjane.2021.03.021.

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