Laparoscopic/ Robotic: Other

Moderated Poster Session

MP17-20 - Introduction of an Established Enhanced Recovery after Surgery Protocol for Hand-assisted Laparoscopic Nephroureterectomy with Bladder Cuff Excision

Saturday, September 22
10:00 AM - 12:00 PM
Location: Room 252B

Introduction & Objective :

Enhanced recovery after surgery (ERAS) protocol has shown to have superior results in patients received robotic-assisted laparoscopic radical prostatectomy and radical cystectomy. There was no previous report evaluating the clinical significance of ERAS protocol in hand-assisted laparoscopic nephroureterectomy with bladder cuff excision. The aim of this study is to report the perioperative outcomes of hand-assisted laparoscopic nephroureterectomy with bladder cuff excision after implementation of ERAS protocol. 


Methods :

A retrospective analysis of 153 patients underwent hand-assisted laparoscopic nephroureterectomy with bladder cuff excision between February 2014 and August 2017 were enrolled into this study. This study consisted of two cohorts, including 85 patients in the convention group while 68 patients in ERAS group. Demographic data and perioperative parameters were compared between the groups. The Mann-Whitney U  test and Fisher's exact test were used for statistical analysis.


Results :

There was no significant difference between age, gender, body mass index and American Society of Anesthesiologist's  (ASA) classification of physical health. The operative time was shorter in ERAS group (107.5 minutes versus 132 minutes, p < 0.05). The reduction in length of hospital stay was significant in ERAS group (5.5 days versus 6.3 days, p < 0.05). There were no significant differences in complication rate and readmission rate in both groups. 


Conclusions :

Implementation of ERAS protocol for patients received hand-assisted laparoscopic nephroureterectomy with bladder cuff excision was associated with decreased operative time and length of hospital stay. A large scale, prospective study might be considered to confirm the potential benefits of ERAS program. 

Thomas Y. Hsueh

Chief
Division of Urology, Department of Surgery, Ren-ai Branch, Taipei City Hospital

Thomas Y. Hsueh MD. PhD, Chief, Division of Urology, Department of Surgery, Taipei City Hospital, Ren-Ai branch

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    Allen W. Chiu

    Professor
    Department of Urology, School of Medicine, National Yang-Ming University

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      Andy C. Huang

      Staff
      Division of Urology, Department of Surgery, Ren-ai branch, Taipei City Hospital

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        Yu-Wei Lai

        Staff
        Division of Urology, Department of Surgery, Ren-ai branch, Taipei City Hospital

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