[Implementation of Enhanced Recovery After Surgery (ERAS®) Protocol in Radical Cystectomy at the University Medical Center Mainz]

Background: In surgical fields there has been a perceivable paradigm shift during the last decade concerning patient pre- and rehabilitation. Current literature suggests close interdisciplinary collaboration after complex procedures such as radical cystectomy in order to optimize perioperative patient care for the benefit of "fast-track" surgery.

Objectives: To compose a catalogue of standardized measures after radical cystectomy based on guidelines set by the ERAS®-Society.

Results: The protocol commences with preoperative education in order to improve the physical and psychological condition of the patient. Crucial aspects in peri- and postoperative patient care are gentle surgical technique, adequate pain management, early mobilization and oral food intake, early removal of drains and foreign material and a seamless return to normal, daily life.

Conclusions: Prospective data analysis will be the next step in order to establish the effectiveness of the protocol especially regarding postoperative complications and median duration of hospital stay.