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Ürolojik Cerrahi Hastasının Bakımında Güncel Yaklaşımlar

Year 2024, , 72 - 82, 30.04.2024
https://doi.org/10.51754/cusbed.1340627

Abstract

Cerrahide yeni teknolojik gelişmeler, anestezi alanındaki güncel yaklaşımlar, ameliyat öncesi ve sonrası hasta bakımında gerçekleştirilen iyileşmeler sonucunda cerrahi girişimler yaygın olarak uygulanmaya başlanmıştır. Cerrahi Sonrası Hızlandırılmış İyileşme (ERAS), modern tıbbın gereksinimlerini karşılayan, hastaların iyileşme sürelerini kısaltmalarına, komplikasyonları azaltmalarına ve prognozlarını etkili bir şekilde iyileştirmelerine yardımcı olmak için bir dizi girişimi içeren multidisipliner yaklaşımdır. ERAS ilkelerinin uygulanması çoğu majör ürolojik cerrahi için geçerlidir. ERAS, laparoskopik radikal nefrektomi, radikal sistektomi, adrenalektomi, parsiyel nefrektomi, prostat hiperplazisi cerrahisi ve robot yardımlı laparoskopik radikal prostatektomi dahil olmak üzere ürolojik cerrahide yaygın olarak kullanılmaktadır ve hastaların fiziksel fonksiyonlarının iyileşmesinin hızlanması, hastanede kalış süresinin kısalması, yaşam kalitesi sırasında memnuniyetlerinin artırılması gibi ameliyat sonrası iyi klinik sonuçlar elde edilmektedir. Ürolojk cerrahi sonrası en iyi hasta sonuçlarına ulaşmak için sistematik ve kanıta dayalı hemşirelik bakımı uygulamaları tercih edilmelidir. Hemşirelerin ürolojik cerrahi ile ilgili çalışmalara katılarak hasta bakımında güncel yaklaşımları benimsemesi ve uygulaması oldukça önemlidir. Bu derlemede, ürolojik cerrahi hastasının bakımında güncel yaklaşımları literatür ışığında kısaca açıklanması hedeflenmiştir.

Supporting Institution

Destekleyen Kurum yoktur.

Project Number

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Thanks

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References

  • Ahmadi, H., & Daneshmand, S. (2022). Association between use of ERAS protocols and complications after radical cystectomy. World Journal of Urology, 40(6), 1311-1316.
  • Akboğa, Ö. Ş. (2021). Perioperatif istemsiz hipotermi postoperatif bulantı ve kusma varlığını etkiler mi? Bir literatür incelemesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 14(3), 594-605. https://doi.org/10.26559/mersinsbd.842574
  • Aksu, H. (2022). Beslenme tarama araçları. Izmir Democracy University Health Sciences Journal, 5(1), 87-105.
  • Azhar, R. A., Bochner, B., Catto, J., Goh, A. C., Kelly, J., Patel, H. D., ... & Desai, M. (2016). Enhanced recovery after urological surgery: a contemporary systematic review of outcomes, key elements, and research needs. European urology, 70(1), 176-187. https://doi.org/10.1016/j.eururo.2016.02.051
  • Bakir, M., Rumeli, S., & Ozel, A. (2023). Healthcare Professional Knowledge on Pain Definition and Management, Pre-test and Post-test Results of Short Courses. Journal of Anesthesia/Anestezi Dergisi (JARSS), 31(4). https://doi.org/10.54875/jarss.2023.25152
  • Baldini, A., Cerantola, Y., Bayle, F., Ravier, E., Belot, P. Y., Arnouil, N., ... & Badet, L. (2018). Do initial experience with an enhanced recovery program after surgery (ERAS) improve postoperative outcomes after cystectomy? Progres en Urologie: Journal de L'association Francaise D'urologie et de la Societe Francaise D'urologie, 28(6), 351-358.
  • Bragg, D., El-Sharkawy, A. M., Psaltis, E., Maxwell-Armstrong, C. A., & Lobo, D. N. (2015). Postoperative ileus: recent developments in pathophysiology and management. Clinical Nutrition, 34(3), 367-376. https://doi.org/10.1016/j.clnu.2015.01.016
  • Bravi, C. A., Larcher, A., Capitanio, U., Mari, A., Antonelli, A., Artibani, W., ... & Minervini, A. (2021). Perioperative outcomes of open, laparoscopic, and robotic partial nephrectomy: a prospective multicenter observational study (The RECORd 2 Project). European urology focus, 7(2), 390-396. https://doi.org/10.1016/j.euf.2019.10.013
  • Brodner, G., Van Aken, H., Hertle, L., Fobker, M., Von Eckardstein, A., Goeters, C., ... & Kehlet, H. (2001). Multimodal perioperative management—combining thoracic epidural analgesia, forced mobilization, and oral nutrition—reduces hormonal and metabolic stress and improves convalescence after major urologic surgery. Anesthesia & Analgesia, 92(6), 1594-1600. https://doi.org/10.1097/00000539-200106000-00049
  • Burden, S., Billson, H. A., Lal, S., Owen, K. A., & Muneer, A. (2019). Perioperative nutrition for the treatment of bladder cancer by radical cystectomy. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD010127.pub2
  • Cakir, S. K., & Ozbayir, T. (2018). The effect of preoperative stoma site marking on quality of life. Pakistan journal of medical sciences, 34(1), 149. https://doi.org/10.12669/pjms.341.14108
  • Care, O. (2007). ASCRS and WOCN joint position statement on the value of preoperative stoma marking for patients undergoing fecal ostomy surgery. J Wound Ostomy Continence Nurs, 34(6), 627-628. https://doi.org/10.1097/01.WON.0000299812.08533.a6
  • Castelino, T., Fiore Jr, J. F., Niculiseanu, P., Landry, T., Augustin, B., & Feldman, L. S. (2016). The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: a systematic review. Surgery, 159(4), 991-1003. https://doi.org/10.1016/j.surg.2015.11.029
  • Catto, J. W., Khetrapal, P., Ricciardi, F., Ambler, G., Williams, N. R., Al-Hammouri, T., ... & iROC Study Team. (2022). Effect of robot-assisted radical cystectomy with intracorporeal urinary diversion vs open radical cystectomy on 90-day morbidity and mortality among patients with bladder cancer: a randomized clinical trial. Jama, 327(21), 2092-2103. https://doi.org/10.1001/jama.2022.7393
  • Cerantola, Y., Valerio, M., Persson, B., Jichlinski, P., Ljungqvist, O., Hubner, M., ... & Patel, H. R. (2013). Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS®) society recommendations. Clinical nutrition, 32(6), 879-887. https://doi.org/10.1016/j.clnu.2013.09.014
  • Choi, H., Kang, S. H., Yoon, D. K., Kang, S. G., Ko, H. Y., Moon, D. G., ... & Cheon, J. (2011). Chewing gum has a stimulatory effect on bowel motility in patients after open or robotic radical cystectomy for bladder cancer: a prospective randomized comparative study. Urology, 77(4), 884-890. https://doi.org/10.1016/j.urology.2010.06.042
  • Coşarcan, S. K., Doğan, A. T., KILIÇ, M., & Erçelen, Ö. (2022). The efficacy of regional analgesia techniques in urological robotic surgeries: a retrospective clinical study. The New Journal of Urology, 17(3), 180-186. https://doi.org/10.33719/yud.2022;17-3-1141735
  • Collins, J. W., Patel, H., Adding, C., Annerstedt, M., Dasgupta, P., Khan, S. M., ... & Wiklund, P. N. (2016). Enhanced recovery after robot-assisted radical cystectomy: EAU robotic urology section scientific working group consensus view. European urology, 70(4), 649-660. https://doi.org/10.1016/j.eururo.2016.05.020
  • Crettenand, F., Martel, P., Lucca, I., Daneshmand, S., & Cerantola, Y. (2020). ERAS for Major Urological Procedures: Evidence Synthesis and Recommendations. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes, 421-431. https://doi.org/10.1007/978-3-030-33443-7
  • Cui, H. W., Turney, B. W., & Griffiths, J. (2017). The preoperative assessment and optimization of patients undergoing major urological surgery. Current Urology Reports, 18(7), 1-10. https://doi.org/10.1007/s11934-017-0701-z
  • Daneshmand, S., Ahmadi, H., Schuckman, A. K., Mitra, A. P., Cai, J., Miranda, G., & Djaladat, H. (2014). Enhanced recovery protocol after radical cystectomy for bladder cancer. The Journal of urology, 192(1), 50-56. https://doi.org/10.1016/j.juro.2014.01.097
  • Di Rollo, D., Mohammed, A., Rawlinson, A., Douglas-Moore, J., & Beatty, J. (2015). Enhanced recovery protocols in urological surgery: a systematic review. The Canadian Journal of Urology, 22(3), 7817-7823.
  • Ding, S. W., Peng, Y. Q., Jiang, Y., Xu, Q., Liu, J. Y., & Zheng, Y. B. (2022). Chewing gum manages and prevents postoperative ileus in patients after robotic-assisted laparoscopic partial nephrectomy. https://doi.org/ 10.21203/rs.3.rs-2022800/v1
  • Doiron, R. C., Jaeger, M., Booth, C. M., Wei, X., & Siemens, D. R. (2016). Is there a measurable association of epidural use at cystectomy and postoperative outcomes? A population-based study. Canadian Urological Association Journal, 10(9-10), 321. https://doi.org/10.5489/cuaj.3856
  • Doruker, N. C., Oden, T. N., & Korkmaz, F. D. (2023). Determination of Knowledge and Attitudes of Cardiac Surgery Nurses Regarding the Enhanced Recovery After Surgery Protocol. Journal of PeriAnesthesia Nursing. https://doi.org/10.1016/j.jopan.2022.11.005
  • Dutton, T. J., Daugherty, M. O., Mason, R. G., & McGrath, J. S. (2014). Implementation of the Exeter enhanced recovery programme for patients undergoing radical cystectomy. BJU international, 113(5), 719-725. https://doi.org/10.1111/bju.12533
  • Feng, D., Li, X., Liu, S., Han, P., & Wei, W. (2020). A comparison between limited bowel preparation and comprehensive bowel preparation in radical cystectomy with ileal urinary diversion: a systematic review and meta-analysis of randomized controlled trials. International Urology and Nephrology, 52, 2005-2014.
  • Forsmo, H. M., Pfeffer, F., Rasdal, A., Sintonen, H., Körner, H., & Erichsen, C. (2016). Pre-and postoperative stoma education and guidance within an enhanced recovery after surgery (ERAS) programme reduces length of hospital stay in colorectal surgery. International Journal of Surgery, 36, 121-126. https://doi.org/10.1016/j.ijsu.2016.10.031
  • Frees, Sebastian Karl, Jonathan Aning, Peter Black, Werner Struss, Robert Bell, Claudia Chavez-Munoz, Martin Gleave, and Alan I. So. "A prospective randomized pilot study evaluating an ERAS protocol versus a standard protocol for patients treated with radical cystectomy and urinary diversion for bladder cancer." World journal of urology 36 (2018): 215-220. https://doi.org/10.1007/s00345-017-2109-2
  • Gür, S., Katran, HB, Arpag, N., Öztekin, D. ve Akyüz, N. (2023). Genel Cerrahi Hemşireliğinin Cerrahi Sonrası Hızlandırılmış İyileşme Protokolü Uygulamalarına İlişkin Değerlendirmeleri. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (19), 224-239. https://doi.org/10.38079/igusabder.1152752
  • Hagimoto, H., Kambe, T., Mine, Y., Kokubun, H., Hattori, Y., Abe, Y., ... & Kawakita, M. (2023). Necessity of prophylactic drainage tube in retroperitoneal laparoscopic nephroureterectomy with open distal ureterectomy: A matched‐pair analysis. International Journal of Urology. https://doi.org/10.1111/iju.15182
  • Hakozaki, K., Takeda, T., Yasumizu, Y., Tanaka, N., Matsumoto, K., Morita, S., ... & Oya, M. (2023). Predictors of urinary function recovery after laparoscopic and robot-assisted radical prostatectomy. International braz j urol, 49, 50-60. https://doi.org/10.1590/S1677-5538.IBJU.2022.0362
  • Hamilton-Reeves, J. M., Bechtel, M. D., Hand, L. K., Schleper, A., Yankee, T. M., Chalise, P., ... & Holzbeierlein, J. M. (2016). Effects of immunonutrition for cystectomy on immune response and infection rates: a pilot randomized controlled clinical trial. European urology, 69(3), 389-392. https://doi.org/10.1016/j.eururo.2015.11.019
  • Hamilton-Reeves, J. M., Stanley, A., Bechtel, M. D., Yankee, T. M., Chalise, P., Hand, L. K., ... & Holzbeierlein, J. M. (2018). Perioperative immunonutrition modulates inflammatory response after radical cystectomy: results of a pilot randomized controlled clinical trial. The Journal of urology, 200(2), 292-301. https://doi.org/10.1016/j.juro.2018.03.001
  • Hsu, M. Y., Lin, J. P., Hsu, H. H., Lai, H. L., & Wu, Y. L. (2020). Preoperative stoma site marking decreases stoma and peristomal complications: a meta-analysis. Journal of Wound Ostomy & Continence Nursing, 47(3), 249-256. https://doi.org/10.1097/WON.0000000000000634
  • Hu, Z., Liu, J., & Wang, F. (2021). Effects of preoperative carbohydrate intake on inflammatory markers and clinical outcomes in elderly patients undergoing radical prostatectomy: a single-centre, double-blind randomised controlled trial. Frontiers in Surgery, 8, 744091. https://doi.org/10.3389/fsurg.2021.744091
  • Huang, J. T. H., Cole, A. P., Mossanen, M., Preston, M. A., Wang, Y., Kibel, A. S., ... & Chang, S. L. (2020). Alvimopan is associated with a reduction in length of stay and hospital costs for patients undergoing radical cystectomy. Urology, 140, 115-121. https://doi.org/10.1016/j.urology.2020.01.049
  • Hübner, M., Addor, V., Slieker, J., Griesser, A. C., Lécureux, E., Blanc, C., & Demartines, N. (2015). The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study. International journal of surgery, 24, 45-50. http://dx.doi.org/10.1016/j.ijsu.2015.10.025 1743-9191
  • Hobisch, A., Tosun, K., Kinzl, J., Kemmler, G., Bartsch, G., Höltl, L., & Stenzl, A. (2000). Quality of life after cystectomy and orthotopic neobladder versus ileal conduit urinary diversion. World journal of urology, 18(5), 338-344. https://doi.org/10.1007/s003450000147
  • Irmak, B., & Bulut, H. (2021). Abdominal Cerrahi Sonrasında Bağırsak Fonksiyonlarını Artırmada Farmakolojik Olmayan Yöntemlerin Kullanımı: Kanıtlar Ne Diyor?. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (14), 336-350.
  • Jensen, B. T., Petersen, A. K., Jensen, J. B., Laustsen, S., & Borre, M. (2015). Efficacy of a multiprofessional rehabilitation programme in radical cystectomy pathways: a prospective randomized controlled trial. Scandinavian journal of urology, 49(2), 133-141. https://doi.org/10.3109/21681805.2014.967810
  • Jensen, B. T., Lauridsen, S. V., & Jensen, J. B. (2020). Optimal delivery of follow-up care after radical cystectomy for bladder cancer. Research and Reports in Urology, 471-486. https://doi.org/10.2147/RRU.S270240
  • Jensen, B. T., Retinger, N. L., & Lauridsen, S. V. (2022). From Fast-track to Enhanced Recovery after Surgery (ERAS) in Radical Cystectomy Pathways–a Nursing Perspective. Asia-Pacific Journal of Oncology Nursing. https://doi.org/10.1016/j.apjon.2022.02.010
  • Kettaş Dölek, E., & Erden, S. (2023). Cerrahi Süreçte Hasta Beslenmesinde Güncel Yaklaşımlar. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi, 18(1), 183-190. https://doi.org/10.17517/ksutfd.1034634
  • Khaleel, S., Regmi, S., Hannah, P., Watarai, B., Sathianathen, N., Weight, C., & Konety, B. (2021). PD51-05 Impact of Preoperatıve Immunonutrıtıon on Perıoperatıve Outcomes Followıng Cystectomy. Journal of Urology, 206(3), 906-907. https://doi.org/10.1097/JU.0000000000002078.05
  • Koo, K., Winoker, JS, Patel, HD, Faisal, F., Gupta, N., Metcalf, MR, ... & Endoüroloji Çalışma Grubunda Opioid Yönetiminin Teşvik Edilmesi. (2021). Endoürolojik ve minimal invazif ürolojik cerrahi sonrası opioid reçetelenmesine ilişkin kanıta dayalı öneriler. Endoüroloji Dergisi, 35 (12), 1838-1843. https://doi.org/10.1089/end.2021.0250
  • Kowalewski, K. F., Hendrie, J. D., Nickel, F., von Hardenberg, J., Nuhn, P., Honeck, P., ... & Kriegmair, M. C. (2020). 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. World journal of urology, 38(8), 1905-1917. https://doi.org/10.1007/s00345-019-02978-2
  • Lobo, D. N., Gianotti, L., Adiamah, A., Barazzoni, R., Deutz, N. E., Dhatariya, K., ... & Weimann, A. (2020). Perioperative nutrition: Recommendations from the ESPEN expert group. Clinical nutrition, 39(11), 3211-3227. https://doi.org/10.1016/j.clnu.2020.03.038
  • Lyon, T. D., Turner, I. I., McBride, D., Wang, L., Gingrich, J. R., Hrebinko, R. L., ... & Tarin, T. V. (2017). Preoperative immunonutrition prior to radical cystectomy: a pilot study. The Canadian Journal of Urology, 24(4), 8895-8901.
  • McKenna, L. S., Taggart, E., Stoelting, J., Kirkbride, G., & Forbes, G. B. (2016). The impact of preoperative stoma marking on health-related quality of life: a comparison cohort study. Journal of Wound Ostomy & Continence Nursing, 43(1), 57-61. https://doi.org/10.1097/WON.0000000000000180
  • Merandy, K., Morgan, M. A., Lee, R., & Scherr, D. S. (2017, May). Improving self-efficacy and self-care in adult patients with a urinary diversion: a pilot study. In Oncology nursing forum (Vol. 44, No. 3, p. E90). NIH Public Access.
  • Merder, E., Arıman, A. (2021). Perioperative and Early Renal Functional Outcomes of Laparoscopic and Open Partial Nephrectomy for Clinical T1 Renal Carcinoma, 37(2), 110-115.
  • Minnella, E. M., Awasthi, R., Bousquet-Dion, G., Ferreira, V., Austin, B., Audi, C., ... & Kassouf, W. (2021). Multimodal prehabilitation to enhance functional capacity following radical cystectomy: a randomized controlled trial. European Urology Focus, 7(1), 132-138. https://doi.org/10.1016/j.euf.2019.05.016
  • Mukhtar, S., Ayres, B. E., Issa, R., Swinn, M. J., & Perry, M. J. A. (2013). Challenging boundaries: an enhanced recovery programme for radical cystectomy. The Annals of The Royal College of Surgeons of England, 95(3), 200-206. https://doi.org/10.1308/003588413X13511609957579
  • Myers, K., Hajek, P., Hinds, C., & McRobbie, H. (2011). Stopping smoking shortly before surgery and postoperative complications: a systematic review and meta-analysis. Archives of internal medicine, 171(11), 983-989. https://doi.org/10.1001/archinternmed.2011.97
  • Ngai, H. Y., Ng, C. M., & Chan, E. (2019). ERAS Protocol in Minimal Invasive Urological Surgery. Endourology Progress: Technique, technology and training, 199-207.
  • Nozawa, H., Sasaki, S., Hayashi, C., Kawasaki, A., Sasaki, K., Murono, K., ... & Ishihara, S. (2023). Preoperative stoma site marking reduces postoperative stoma-related complications in emergency surgery: A single center retrospective cohort study. Scandinavian Journal of Surgery, 14574969231186282. https://doi.org/10.1177/14574969231186282
  • Ongün, P., & Ak, E. S. (2020). Assessment of knowledge levels of nurses working in surgical clinics about ERAS protocol,16(3), 287-94 https://doi.org/10.5222/BMJ.2020.81300
  • Ornaghi, P. I., Afferi, L., Antonelli, A., Cerruto, M. A., Odorizzi, K., Gozzo, A., ... & Moschini, M. (2021). The impact of preoperative nutritional status on post-surgical complication and mortality rates in patients undergoing radical cystectomy for bladder cancer: a systematic review of the literature. World Journal of Urology, 39, 1045-1081.
  • Pang, K. H., Groves, R., Venugopal, S., Noon, A. P., & Catto, J. W. (2018). Prospective implementation of enhanced recovery after surgery protocols to radical cystectomy. European urology, 73(3), 363-371. https://doi.org/10.1016/j.eururo.2017.07.031
  • Patel, S. Y., Trona, N., Alford, B., Laborde, J. M., Kim, Y., Li, R., ... & Poch, M. A. (2022). Preoperative immunonutrition and carbohydrate loading associated with improved bowel function after radical cystectomy. Nutrition in Clinical Practice, 37(1), 176-182. https://doi.org/10.1002/ncp.10661
  • Persson, B., Carringer, M., Andrén, O., Andersson, S. O., Carlsson, J., & Ljungqvist, O. (2015). Initial experiences with the enhanced recovery after surgery (ERAS®) protocol in open radical cystectomy. Scandinavian journal of urology, 49(4), 302-307. https://doi.org/10.3109/21681805.2015.1004641
  • Pillai, P., McEleavy, I., Gaughan, M., Snowden, C., Nesbitt, I., Durkan, G., ... & Thorpe, A. (2011). A double-blind randomized controlled clinical trial to assess the effect of Doppler optimized intraoperative fluid management on outcome following radical cystectomy. The Journal of urology, 186(6), 2201-2206. https://doi.org/10.1016/j.juro.2011.07.093
  • Ploussard, G., Almeras, C., Beauval, J. B., Gautier, J. R., Garnault, V., Frémont, N., ... & Tollon, C. (2020). A combination of enhanced recovery after surgery and prehabilitation pathways improves perioperative outcomes and costs for robotic radical prostatectomy. Cancer, 126(18), 4148-4155. https://doi.org/10.1002/cncr.33061Citations
  • Rink, M., Zabor, E. C., Furberg, H., Xylinas, E., Ehdaie, B., Novara, G., ... & Shariat, S. F. (2013). Impact of smoking and smoking cessation on outcomes in bladder cancer patients treated with radical cystectomy. European urology, 64(3), 456-464. https://doi.org/10.1016/j.eururo.2012.11.039
  • Rodrigues Pessoa, R., Urkmez, A., Kukreja, N., & Baack Kukreja, J. (2020). Enhanced recovery after surgery review and urology applications in 2020. BJUI compass, 1(1), 5-14. https://doi.org/10.1002/bco2.9
  • Roth, B., Birkhäuser, F. D., Zehnder, P., Thalmann, G. N., Huwyler, M., Burkhard, F. C., & Studer, U. E. (2013). Parenteral nutrition does not improve postoperative recovery from radical cystectomy: results of a prospective randomised trial. European urology, 63(3), 475-482. https://doi.org/10.1016/j.eururo.2012.05.052
  • Saar, M., Ohlmann, C. H., Siemer, S., Lehmann, J., Becker, F., Stöckle, M., & Kamradt, J. (2013). Fast‐track rehabilitation after robot‐assisted laparoscopic cystectomy accelerates postoperative recovery. BJU international, 112(2), E99-E106. https://doi.org/10.1111/j.1464-410X.2012.11473.x
  • Satkunasivam, R., Tallman, C. T., Taylor, J. M., Miles, B. J., Klaassen, Z., & Wallis, C. J. (2019). Robot-assisted radical cystectomy versus open radical cystectomy: a meta-analysis of oncologic, perioperative, and complication-related outcomes. European Urology Oncology, 2(4), 443-447. https://doi.org/10.1016/j.euo.2018.10.008
  • Schiavina, R., Droghetti, M., Bianchi, L., Ercolino, A., Chessa, F., Casablanca, C., ... & Porreca, A. (2021, December). The robotic approach improves the outcomes of ERAS protocol after radical cystectomy: A prospective case-control analysis. In Urologic Oncology: Seminars and Original Investigations (Vol. 39, No. 12, pp. 833-e1). Elsevier. https://doi.org/10.1016/j.urolonc.2021.04.015
  • Seyhan Ak, E. (2020). Ürolojik cerrahi sonrası ağrı yönetiminde güncel yaklaşımlar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(4), 546-551. https://doi.org/10.17049/ataunihem.559052
  • Smith, A., Anders, M., Auffenberg, G., Daneshmand, S., Elllimootil, C., & Fellows, J. (2018). Optimizing outcomes in urologic surgery: postoperative. The American Urological Association gratefully acknowledges the assistance of the American Society of Anesthesiologists and Society of Urologic Nurses and Associates in the creation of the white paper.
  • Soysal, G. E., & İlçe, A. (2018). Ameliyat Döneminde İstenmeyen Hipotermide Kanita Dayali Uygulamalar, Evidence Based Practices on the Unplanned Perioperative Hypothermia. Bozok Tıp Dergisi, 8(2), 72-79. https://doi.org/10.16919/bozoktip.337029
  • Stewart, D., & Waxman, K. (2010). Management of postoperative ileus. Disease-a-month, 56(4), 204-214. https://doi.org/10.1016/j.disamonth.2009.12.008
  • Sung, L. H., & Yuk, H. D. (2020). Enhanced recovery after surgery of patients undergoing radical cystectomy for bladder cancer. Translational Andrology and Urology, 9(6), 2986. https://doi.org/10.21037/tau.2020.03.44
  • Tanner, J., & Melen, K. (2021). Preoperative hair removal to reduce surgical site infection. Cochrane database of systematic reviews, 26(8), CD004122. doi: https://doi.org/10.1002/14651858.CD004122.pub5.
  • Thomsen, T., Villebro, N., & Møller, A. M. (2014). Interventions for preoperative smoking cessation. Cochrane database of systematic reviews, (3). https://doi.org/10.1002/14651858.CD002294.pub4
  • Venclauskas, L., Llau, J. V., Jenny, J. Y., Kjaersgaard-Andersen, P., & Jans, Ø. (2018). European guidelines on perioperative venous thromboembolism prophylaxis: day surgery and fast-track surgery. European Journal of Anaesthesiology| EJA, 35(2), 134-138. https://doi.org/10.1097/EJA.0000000000000706
  • Vermişli, S., Çam, K. (2015). Üroonkoloji radikal cerrahi sonrası erken mobilizasyonun etkinliği. Üroonkoloji Bülteni, 14, 324-326. https://doi.org/10.4274/uob.467
  • Vukovic, N., & Dinic, L. (2018). Enhanced recovery after surgery protocols in major urologic surgery. Frontiers in Medicine, 5, 93. https://doi.org/10.3389/fmed.2018.00093
  • Webster, J., & Osborne, S. (2015). Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane database of systematic reviews, (2). https://doi.org/10.1002/14651858.CD004985.pub5
  • Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., ... & Singer, P. (2017). ESPEN guideline: clinical nutrition in surgery. Clinical nutrition, 36(3), 623-650. https://doi.org/10.1016/j.clnu.2017.02.013
  • Williams, S. B., Cumberbatch, M. G., Kamat, A. M., Jubber, I., Kerr, P. S., McGrath, J. S., ... & Daneshmand, S. (2020). Reporting radical cystectomy outcomes following implementation of enhanced recovery after surgery protocols: a systematic review and individual patient data meta-analysis. European urology, 78(5), 719-730. https://doi.org/10.1016/j.eururo.2020.06.039
  • Xu, D., Zhu, X., Xu, Y., & Zhang, L. (2017). Shortened preoperative fasting for prevention of complications associated with laparoscopic cholecystectomy: a meta-analysis. Journal of International Medical Research, 45(1), 22-37. https://doi.org/10.1177/0300060516676411
  • Yi, J., Lei, Y., Xu, S., Si, Y., Li, S., Xia, Z., ... & Huang, Y. (2017). Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: National study in China. PloS one, 12(6), e0177221. https://doi.org/10.1371/journal.pone.0177221
  • Zainfeld, D., & Djaladat, H. (2017). Enhanced recovery after urologic surgery—Current applications and future directions. Journal of Surgical Oncology, 116(5), 630-637. https://doi.org/10.1002/jso.24821
  • Zhao, T., Huang, L., Tian, Y., Wang, H., Wei, Q., & Li, X. (2014). Is it necessary to insert nasogastric tube routinely after radical cystectomy with urinary diversion? A meta-analysis. International Journal of Clinical and Experimental Medicine, 7(12), 4627. ISSN:1940-5901/IJCEM0002770
  • Ziegelmueller, B. K., Jokisch, J. F., Buchner, A., Grimm, T., Kretschmer, A., Schulz, G. B., ... & Karl, A. (2020). Long-term follow-up and oncological outcome of patients undergoing radical cystectomy for bladder cancer following an enhanced recovery after surgery (ERAS) protocol: results of a large randomized, prospective, single-center study. Urologia Internationalis, 104(1-2), 55-61. https://doi.org/10.1159/000504236

Current Approaches in the Care of the Urological Surgery Patient

Year 2024, , 72 - 82, 30.04.2024
https://doi.org/10.51754/cusbed.1340627

Abstract

As a result of new technological developments in surgery, current approaches in the field of anesthesia, and improvements in patient care before and after surgery, surgical interventions have been widely used. Enhanced Recovery After Surgery (ERAS) is a multidisciplinary approach that meets the requirements of modern medicine and includes a set of initiatives to help patients shorten recovery times, reduce complications and effectively improve their prognosis. The application of ERAS principles applies to most major urological surgeries. ERAS is widely used in urological surgery, including laparoscopic radical nephrectomy, radical cystectomy, adrenalectomy, partial nephrectomy, prostatic hyperplasia surgery, and robot-assisted laparoscopic radical prostatectomy, and can be used to accelerate patients' physical function recovery, shorten hospital stays, and increase their satisfaction during quality of life. good clinical results are obtained after Systematic and evidence-based nursing care practices should be preferred in order to achieve the best patient outcomes after urology surgery. It is very important for nurses to adopt and apply current approaches in patient care by participating in studies related to urology surgery. In this review, it is aimed to briefly explain the current approaches in the care of the urological surgery patient in the light of the literature.

Project Number

Yoktur.

References

  • Ahmadi, H., & Daneshmand, S. (2022). Association between use of ERAS protocols and complications after radical cystectomy. World Journal of Urology, 40(6), 1311-1316.
  • Akboğa, Ö. Ş. (2021). Perioperatif istemsiz hipotermi postoperatif bulantı ve kusma varlığını etkiler mi? Bir literatür incelemesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 14(3), 594-605. https://doi.org/10.26559/mersinsbd.842574
  • Aksu, H. (2022). Beslenme tarama araçları. Izmir Democracy University Health Sciences Journal, 5(1), 87-105.
  • Azhar, R. A., Bochner, B., Catto, J., Goh, A. C., Kelly, J., Patel, H. D., ... & Desai, M. (2016). Enhanced recovery after urological surgery: a contemporary systematic review of outcomes, key elements, and research needs. European urology, 70(1), 176-187. https://doi.org/10.1016/j.eururo.2016.02.051
  • Bakir, M., Rumeli, S., & Ozel, A. (2023). Healthcare Professional Knowledge on Pain Definition and Management, Pre-test and Post-test Results of Short Courses. Journal of Anesthesia/Anestezi Dergisi (JARSS), 31(4). https://doi.org/10.54875/jarss.2023.25152
  • Baldini, A., Cerantola, Y., Bayle, F., Ravier, E., Belot, P. Y., Arnouil, N., ... & Badet, L. (2018). Do initial experience with an enhanced recovery program after surgery (ERAS) improve postoperative outcomes after cystectomy? Progres en Urologie: Journal de L'association Francaise D'urologie et de la Societe Francaise D'urologie, 28(6), 351-358.
  • Bragg, D., El-Sharkawy, A. M., Psaltis, E., Maxwell-Armstrong, C. A., & Lobo, D. N. (2015). Postoperative ileus: recent developments in pathophysiology and management. Clinical Nutrition, 34(3), 367-376. https://doi.org/10.1016/j.clnu.2015.01.016
  • Bravi, C. A., Larcher, A., Capitanio, U., Mari, A., Antonelli, A., Artibani, W., ... & Minervini, A. (2021). Perioperative outcomes of open, laparoscopic, and robotic partial nephrectomy: a prospective multicenter observational study (The RECORd 2 Project). European urology focus, 7(2), 390-396. https://doi.org/10.1016/j.euf.2019.10.013
  • Brodner, G., Van Aken, H., Hertle, L., Fobker, M., Von Eckardstein, A., Goeters, C., ... & Kehlet, H. (2001). Multimodal perioperative management—combining thoracic epidural analgesia, forced mobilization, and oral nutrition—reduces hormonal and metabolic stress and improves convalescence after major urologic surgery. Anesthesia & Analgesia, 92(6), 1594-1600. https://doi.org/10.1097/00000539-200106000-00049
  • Burden, S., Billson, H. A., Lal, S., Owen, K. A., & Muneer, A. (2019). Perioperative nutrition for the treatment of bladder cancer by radical cystectomy. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD010127.pub2
  • Cakir, S. K., & Ozbayir, T. (2018). The effect of preoperative stoma site marking on quality of life. Pakistan journal of medical sciences, 34(1), 149. https://doi.org/10.12669/pjms.341.14108
  • Care, O. (2007). ASCRS and WOCN joint position statement on the value of preoperative stoma marking for patients undergoing fecal ostomy surgery. J Wound Ostomy Continence Nurs, 34(6), 627-628. https://doi.org/10.1097/01.WON.0000299812.08533.a6
  • Castelino, T., Fiore Jr, J. F., Niculiseanu, P., Landry, T., Augustin, B., & Feldman, L. S. (2016). The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: a systematic review. Surgery, 159(4), 991-1003. https://doi.org/10.1016/j.surg.2015.11.029
  • Catto, J. W., Khetrapal, P., Ricciardi, F., Ambler, G., Williams, N. R., Al-Hammouri, T., ... & iROC Study Team. (2022). Effect of robot-assisted radical cystectomy with intracorporeal urinary diversion vs open radical cystectomy on 90-day morbidity and mortality among patients with bladder cancer: a randomized clinical trial. Jama, 327(21), 2092-2103. https://doi.org/10.1001/jama.2022.7393
  • Cerantola, Y., Valerio, M., Persson, B., Jichlinski, P., Ljungqvist, O., Hubner, M., ... & Patel, H. R. (2013). Guidelines for perioperative care after radical cystectomy for bladder cancer: Enhanced Recovery After Surgery (ERAS®) society recommendations. Clinical nutrition, 32(6), 879-887. https://doi.org/10.1016/j.clnu.2013.09.014
  • Choi, H., Kang, S. H., Yoon, D. K., Kang, S. G., Ko, H. Y., Moon, D. G., ... & Cheon, J. (2011). Chewing gum has a stimulatory effect on bowel motility in patients after open or robotic radical cystectomy for bladder cancer: a prospective randomized comparative study. Urology, 77(4), 884-890. https://doi.org/10.1016/j.urology.2010.06.042
  • Coşarcan, S. K., Doğan, A. T., KILIÇ, M., & Erçelen, Ö. (2022). The efficacy of regional analgesia techniques in urological robotic surgeries: a retrospective clinical study. The New Journal of Urology, 17(3), 180-186. https://doi.org/10.33719/yud.2022;17-3-1141735
  • Collins, J. W., Patel, H., Adding, C., Annerstedt, M., Dasgupta, P., Khan, S. M., ... & Wiklund, P. N. (2016). Enhanced recovery after robot-assisted radical cystectomy: EAU robotic urology section scientific working group consensus view. European urology, 70(4), 649-660. https://doi.org/10.1016/j.eururo.2016.05.020
  • Crettenand, F., Martel, P., Lucca, I., Daneshmand, S., & Cerantola, Y. (2020). ERAS for Major Urological Procedures: Evidence Synthesis and Recommendations. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes, 421-431. https://doi.org/10.1007/978-3-030-33443-7
  • Cui, H. W., Turney, B. W., & Griffiths, J. (2017). The preoperative assessment and optimization of patients undergoing major urological surgery. Current Urology Reports, 18(7), 1-10. https://doi.org/10.1007/s11934-017-0701-z
  • Daneshmand, S., Ahmadi, H., Schuckman, A. K., Mitra, A. P., Cai, J., Miranda, G., & Djaladat, H. (2014). Enhanced recovery protocol after radical cystectomy for bladder cancer. The Journal of urology, 192(1), 50-56. https://doi.org/10.1016/j.juro.2014.01.097
  • Di Rollo, D., Mohammed, A., Rawlinson, A., Douglas-Moore, J., & Beatty, J. (2015). Enhanced recovery protocols in urological surgery: a systematic review. The Canadian Journal of Urology, 22(3), 7817-7823.
  • Ding, S. W., Peng, Y. Q., Jiang, Y., Xu, Q., Liu, J. Y., & Zheng, Y. B. (2022). Chewing gum manages and prevents postoperative ileus in patients after robotic-assisted laparoscopic partial nephrectomy. https://doi.org/ 10.21203/rs.3.rs-2022800/v1
  • Doiron, R. C., Jaeger, M., Booth, C. M., Wei, X., & Siemens, D. R. (2016). Is there a measurable association of epidural use at cystectomy and postoperative outcomes? A population-based study. Canadian Urological Association Journal, 10(9-10), 321. https://doi.org/10.5489/cuaj.3856
  • Doruker, N. C., Oden, T. N., & Korkmaz, F. D. (2023). Determination of Knowledge and Attitudes of Cardiac Surgery Nurses Regarding the Enhanced Recovery After Surgery Protocol. Journal of PeriAnesthesia Nursing. https://doi.org/10.1016/j.jopan.2022.11.005
  • Dutton, T. J., Daugherty, M. O., Mason, R. G., & McGrath, J. S. (2014). Implementation of the Exeter enhanced recovery programme for patients undergoing radical cystectomy. BJU international, 113(5), 719-725. https://doi.org/10.1111/bju.12533
  • Feng, D., Li, X., Liu, S., Han, P., & Wei, W. (2020). A comparison between limited bowel preparation and comprehensive bowel preparation in radical cystectomy with ileal urinary diversion: a systematic review and meta-analysis of randomized controlled trials. International Urology and Nephrology, 52, 2005-2014.
  • Forsmo, H. M., Pfeffer, F., Rasdal, A., Sintonen, H., Körner, H., & Erichsen, C. (2016). Pre-and postoperative stoma education and guidance within an enhanced recovery after surgery (ERAS) programme reduces length of hospital stay in colorectal surgery. International Journal of Surgery, 36, 121-126. https://doi.org/10.1016/j.ijsu.2016.10.031
  • Frees, Sebastian Karl, Jonathan Aning, Peter Black, Werner Struss, Robert Bell, Claudia Chavez-Munoz, Martin Gleave, and Alan I. So. "A prospective randomized pilot study evaluating an ERAS protocol versus a standard protocol for patients treated with radical cystectomy and urinary diversion for bladder cancer." World journal of urology 36 (2018): 215-220. https://doi.org/10.1007/s00345-017-2109-2
  • Gür, S., Katran, HB, Arpag, N., Öztekin, D. ve Akyüz, N. (2023). Genel Cerrahi Hemşireliğinin Cerrahi Sonrası Hızlandırılmış İyileşme Protokolü Uygulamalarına İlişkin Değerlendirmeleri. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (19), 224-239. https://doi.org/10.38079/igusabder.1152752
  • Hagimoto, H., Kambe, T., Mine, Y., Kokubun, H., Hattori, Y., Abe, Y., ... & Kawakita, M. (2023). Necessity of prophylactic drainage tube in retroperitoneal laparoscopic nephroureterectomy with open distal ureterectomy: A matched‐pair analysis. International Journal of Urology. https://doi.org/10.1111/iju.15182
  • Hakozaki, K., Takeda, T., Yasumizu, Y., Tanaka, N., Matsumoto, K., Morita, S., ... & Oya, M. (2023). Predictors of urinary function recovery after laparoscopic and robot-assisted radical prostatectomy. International braz j urol, 49, 50-60. https://doi.org/10.1590/S1677-5538.IBJU.2022.0362
  • Hamilton-Reeves, J. M., Bechtel, M. D., Hand, L. K., Schleper, A., Yankee, T. M., Chalise, P., ... & Holzbeierlein, J. M. (2016). Effects of immunonutrition for cystectomy on immune response and infection rates: a pilot randomized controlled clinical trial. European urology, 69(3), 389-392. https://doi.org/10.1016/j.eururo.2015.11.019
  • Hamilton-Reeves, J. M., Stanley, A., Bechtel, M. D., Yankee, T. M., Chalise, P., Hand, L. K., ... & Holzbeierlein, J. M. (2018). Perioperative immunonutrition modulates inflammatory response after radical cystectomy: results of a pilot randomized controlled clinical trial. The Journal of urology, 200(2), 292-301. https://doi.org/10.1016/j.juro.2018.03.001
  • Hsu, M. Y., Lin, J. P., Hsu, H. H., Lai, H. L., & Wu, Y. L. (2020). Preoperative stoma site marking decreases stoma and peristomal complications: a meta-analysis. Journal of Wound Ostomy & Continence Nursing, 47(3), 249-256. https://doi.org/10.1097/WON.0000000000000634
  • Hu, Z., Liu, J., & Wang, F. (2021). Effects of preoperative carbohydrate intake on inflammatory markers and clinical outcomes in elderly patients undergoing radical prostatectomy: a single-centre, double-blind randomised controlled trial. Frontiers in Surgery, 8, 744091. https://doi.org/10.3389/fsurg.2021.744091
  • Huang, J. T. H., Cole, A. P., Mossanen, M., Preston, M. A., Wang, Y., Kibel, A. S., ... & Chang, S. L. (2020). Alvimopan is associated with a reduction in length of stay and hospital costs for patients undergoing radical cystectomy. Urology, 140, 115-121. https://doi.org/10.1016/j.urology.2020.01.049
  • Hübner, M., Addor, V., Slieker, J., Griesser, A. C., Lécureux, E., Blanc, C., & Demartines, N. (2015). The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study. International journal of surgery, 24, 45-50. http://dx.doi.org/10.1016/j.ijsu.2015.10.025 1743-9191
  • Hobisch, A., Tosun, K., Kinzl, J., Kemmler, G., Bartsch, G., Höltl, L., & Stenzl, A. (2000). Quality of life after cystectomy and orthotopic neobladder versus ileal conduit urinary diversion. World journal of urology, 18(5), 338-344. https://doi.org/10.1007/s003450000147
  • Irmak, B., & Bulut, H. (2021). Abdominal Cerrahi Sonrasında Bağırsak Fonksiyonlarını Artırmada Farmakolojik Olmayan Yöntemlerin Kullanımı: Kanıtlar Ne Diyor?. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, (14), 336-350.
  • Jensen, B. T., Petersen, A. K., Jensen, J. B., Laustsen, S., & Borre, M. (2015). Efficacy of a multiprofessional rehabilitation programme in radical cystectomy pathways: a prospective randomized controlled trial. Scandinavian journal of urology, 49(2), 133-141. https://doi.org/10.3109/21681805.2014.967810
  • Jensen, B. T., Lauridsen, S. V., & Jensen, J. B. (2020). Optimal delivery of follow-up care after radical cystectomy for bladder cancer. Research and Reports in Urology, 471-486. https://doi.org/10.2147/RRU.S270240
  • Jensen, B. T., Retinger, N. L., & Lauridsen, S. V. (2022). From Fast-track to Enhanced Recovery after Surgery (ERAS) in Radical Cystectomy Pathways–a Nursing Perspective. Asia-Pacific Journal of Oncology Nursing. https://doi.org/10.1016/j.apjon.2022.02.010
  • Kettaş Dölek, E., & Erden, S. (2023). Cerrahi Süreçte Hasta Beslenmesinde Güncel Yaklaşımlar. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi, 18(1), 183-190. https://doi.org/10.17517/ksutfd.1034634
  • Khaleel, S., Regmi, S., Hannah, P., Watarai, B., Sathianathen, N., Weight, C., & Konety, B. (2021). PD51-05 Impact of Preoperatıve Immunonutrıtıon on Perıoperatıve Outcomes Followıng Cystectomy. Journal of Urology, 206(3), 906-907. https://doi.org/10.1097/JU.0000000000002078.05
  • Koo, K., Winoker, JS, Patel, HD, Faisal, F., Gupta, N., Metcalf, MR, ... & Endoüroloji Çalışma Grubunda Opioid Yönetiminin Teşvik Edilmesi. (2021). Endoürolojik ve minimal invazif ürolojik cerrahi sonrası opioid reçetelenmesine ilişkin kanıta dayalı öneriler. Endoüroloji Dergisi, 35 (12), 1838-1843. https://doi.org/10.1089/end.2021.0250
  • Kowalewski, K. F., Hendrie, J. D., Nickel, F., von Hardenberg, J., Nuhn, P., Honeck, P., ... & Kriegmair, M. C. (2020). 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. World journal of urology, 38(8), 1905-1917. https://doi.org/10.1007/s00345-019-02978-2
  • Lobo, D. N., Gianotti, L., Adiamah, A., Barazzoni, R., Deutz, N. E., Dhatariya, K., ... & Weimann, A. (2020). Perioperative nutrition: Recommendations from the ESPEN expert group. Clinical nutrition, 39(11), 3211-3227. https://doi.org/10.1016/j.clnu.2020.03.038
  • Lyon, T. D., Turner, I. I., McBride, D., Wang, L., Gingrich, J. R., Hrebinko, R. L., ... & Tarin, T. V. (2017). Preoperative immunonutrition prior to radical cystectomy: a pilot study. The Canadian Journal of Urology, 24(4), 8895-8901.
  • McKenna, L. S., Taggart, E., Stoelting, J., Kirkbride, G., & Forbes, G. B. (2016). The impact of preoperative stoma marking on health-related quality of life: a comparison cohort study. Journal of Wound Ostomy & Continence Nursing, 43(1), 57-61. https://doi.org/10.1097/WON.0000000000000180
  • Merandy, K., Morgan, M. A., Lee, R., & Scherr, D. S. (2017, May). Improving self-efficacy and self-care in adult patients with a urinary diversion: a pilot study. In Oncology nursing forum (Vol. 44, No. 3, p. E90). NIH Public Access.
  • Merder, E., Arıman, A. (2021). Perioperative and Early Renal Functional Outcomes of Laparoscopic and Open Partial Nephrectomy for Clinical T1 Renal Carcinoma, 37(2), 110-115.
  • Minnella, E. M., Awasthi, R., Bousquet-Dion, G., Ferreira, V., Austin, B., Audi, C., ... & Kassouf, W. (2021). Multimodal prehabilitation to enhance functional capacity following radical cystectomy: a randomized controlled trial. European Urology Focus, 7(1), 132-138. https://doi.org/10.1016/j.euf.2019.05.016
  • Mukhtar, S., Ayres, B. E., Issa, R., Swinn, M. J., & Perry, M. J. A. (2013). Challenging boundaries: an enhanced recovery programme for radical cystectomy. The Annals of The Royal College of Surgeons of England, 95(3), 200-206. https://doi.org/10.1308/003588413X13511609957579
  • Myers, K., Hajek, P., Hinds, C., & McRobbie, H. (2011). Stopping smoking shortly before surgery and postoperative complications: a systematic review and meta-analysis. Archives of internal medicine, 171(11), 983-989. https://doi.org/10.1001/archinternmed.2011.97
  • Ngai, H. Y., Ng, C. M., & Chan, E. (2019). ERAS Protocol in Minimal Invasive Urological Surgery. Endourology Progress: Technique, technology and training, 199-207.
  • Nozawa, H., Sasaki, S., Hayashi, C., Kawasaki, A., Sasaki, K., Murono, K., ... & Ishihara, S. (2023). Preoperative stoma site marking reduces postoperative stoma-related complications in emergency surgery: A single center retrospective cohort study. Scandinavian Journal of Surgery, 14574969231186282. https://doi.org/10.1177/14574969231186282
  • Ongün, P., & Ak, E. S. (2020). Assessment of knowledge levels of nurses working in surgical clinics about ERAS protocol,16(3), 287-94 https://doi.org/10.5222/BMJ.2020.81300
  • Ornaghi, P. I., Afferi, L., Antonelli, A., Cerruto, M. A., Odorizzi, K., Gozzo, A., ... & Moschini, M. (2021). The impact of preoperative nutritional status on post-surgical complication and mortality rates in patients undergoing radical cystectomy for bladder cancer: a systematic review of the literature. World Journal of Urology, 39, 1045-1081.
  • Pang, K. H., Groves, R., Venugopal, S., Noon, A. P., & Catto, J. W. (2018). Prospective implementation of enhanced recovery after surgery protocols to radical cystectomy. European urology, 73(3), 363-371. https://doi.org/10.1016/j.eururo.2017.07.031
  • Patel, S. Y., Trona, N., Alford, B., Laborde, J. M., Kim, Y., Li, R., ... & Poch, M. A. (2022). Preoperative immunonutrition and carbohydrate loading associated with improved bowel function after radical cystectomy. Nutrition in Clinical Practice, 37(1), 176-182. https://doi.org/10.1002/ncp.10661
  • Persson, B., Carringer, M., Andrén, O., Andersson, S. O., Carlsson, J., & Ljungqvist, O. (2015). Initial experiences with the enhanced recovery after surgery (ERAS®) protocol in open radical cystectomy. Scandinavian journal of urology, 49(4), 302-307. https://doi.org/10.3109/21681805.2015.1004641
  • Pillai, P., McEleavy, I., Gaughan, M., Snowden, C., Nesbitt, I., Durkan, G., ... & Thorpe, A. (2011). A double-blind randomized controlled clinical trial to assess the effect of Doppler optimized intraoperative fluid management on outcome following radical cystectomy. The Journal of urology, 186(6), 2201-2206. https://doi.org/10.1016/j.juro.2011.07.093
  • Ploussard, G., Almeras, C., Beauval, J. B., Gautier, J. R., Garnault, V., Frémont, N., ... & Tollon, C. (2020). A combination of enhanced recovery after surgery and prehabilitation pathways improves perioperative outcomes and costs for robotic radical prostatectomy. Cancer, 126(18), 4148-4155. https://doi.org/10.1002/cncr.33061Citations
  • Rink, M., Zabor, E. C., Furberg, H., Xylinas, E., Ehdaie, B., Novara, G., ... & Shariat, S. F. (2013). Impact of smoking and smoking cessation on outcomes in bladder cancer patients treated with radical cystectomy. European urology, 64(3), 456-464. https://doi.org/10.1016/j.eururo.2012.11.039
  • Rodrigues Pessoa, R., Urkmez, A., Kukreja, N., & Baack Kukreja, J. (2020). Enhanced recovery after surgery review and urology applications in 2020. BJUI compass, 1(1), 5-14. https://doi.org/10.1002/bco2.9
  • Roth, B., Birkhäuser, F. D., Zehnder, P., Thalmann, G. N., Huwyler, M., Burkhard, F. C., & Studer, U. E. (2013). Parenteral nutrition does not improve postoperative recovery from radical cystectomy: results of a prospective randomised trial. European urology, 63(3), 475-482. https://doi.org/10.1016/j.eururo.2012.05.052
  • Saar, M., Ohlmann, C. H., Siemer, S., Lehmann, J., Becker, F., Stöckle, M., & Kamradt, J. (2013). Fast‐track rehabilitation after robot‐assisted laparoscopic cystectomy accelerates postoperative recovery. BJU international, 112(2), E99-E106. https://doi.org/10.1111/j.1464-410X.2012.11473.x
  • Satkunasivam, R., Tallman, C. T., Taylor, J. M., Miles, B. J., Klaassen, Z., & Wallis, C. J. (2019). Robot-assisted radical cystectomy versus open radical cystectomy: a meta-analysis of oncologic, perioperative, and complication-related outcomes. European Urology Oncology, 2(4), 443-447. https://doi.org/10.1016/j.euo.2018.10.008
  • Schiavina, R., Droghetti, M., Bianchi, L., Ercolino, A., Chessa, F., Casablanca, C., ... & Porreca, A. (2021, December). The robotic approach improves the outcomes of ERAS protocol after radical cystectomy: A prospective case-control analysis. In Urologic Oncology: Seminars and Original Investigations (Vol. 39, No. 12, pp. 833-e1). Elsevier. https://doi.org/10.1016/j.urolonc.2021.04.015
  • Seyhan Ak, E. (2020). Ürolojik cerrahi sonrası ağrı yönetiminde güncel yaklaşımlar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(4), 546-551. https://doi.org/10.17049/ataunihem.559052
  • Smith, A., Anders, M., Auffenberg, G., Daneshmand, S., Elllimootil, C., & Fellows, J. (2018). Optimizing outcomes in urologic surgery: postoperative. The American Urological Association gratefully acknowledges the assistance of the American Society of Anesthesiologists and Society of Urologic Nurses and Associates in the creation of the white paper.
  • Soysal, G. E., & İlçe, A. (2018). Ameliyat Döneminde İstenmeyen Hipotermide Kanita Dayali Uygulamalar, Evidence Based Practices on the Unplanned Perioperative Hypothermia. Bozok Tıp Dergisi, 8(2), 72-79. https://doi.org/10.16919/bozoktip.337029
  • Stewart, D., & Waxman, K. (2010). Management of postoperative ileus. Disease-a-month, 56(4), 204-214. https://doi.org/10.1016/j.disamonth.2009.12.008
  • Sung, L. H., & Yuk, H. D. (2020). Enhanced recovery after surgery of patients undergoing radical cystectomy for bladder cancer. Translational Andrology and Urology, 9(6), 2986. https://doi.org/10.21037/tau.2020.03.44
  • Tanner, J., & Melen, K. (2021). Preoperative hair removal to reduce surgical site infection. Cochrane database of systematic reviews, 26(8), CD004122. doi: https://doi.org/10.1002/14651858.CD004122.pub5.
  • Thomsen, T., Villebro, N., & Møller, A. M. (2014). Interventions for preoperative smoking cessation. Cochrane database of systematic reviews, (3). https://doi.org/10.1002/14651858.CD002294.pub4
  • Venclauskas, L., Llau, J. V., Jenny, J. Y., Kjaersgaard-Andersen, P., & Jans, Ø. (2018). European guidelines on perioperative venous thromboembolism prophylaxis: day surgery and fast-track surgery. European Journal of Anaesthesiology| EJA, 35(2), 134-138. https://doi.org/10.1097/EJA.0000000000000706
  • Vermişli, S., Çam, K. (2015). Üroonkoloji radikal cerrahi sonrası erken mobilizasyonun etkinliği. Üroonkoloji Bülteni, 14, 324-326. https://doi.org/10.4274/uob.467
  • Vukovic, N., & Dinic, L. (2018). Enhanced recovery after surgery protocols in major urologic surgery. Frontiers in Medicine, 5, 93. https://doi.org/10.3389/fmed.2018.00093
  • Webster, J., & Osborne, S. (2015). Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane database of systematic reviews, (2). https://doi.org/10.1002/14651858.CD004985.pub5
  • Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., ... & Singer, P. (2017). ESPEN guideline: clinical nutrition in surgery. Clinical nutrition, 36(3), 623-650. https://doi.org/10.1016/j.clnu.2017.02.013
  • Williams, S. B., Cumberbatch, M. G., Kamat, A. M., Jubber, I., Kerr, P. S., McGrath, J. S., ... & Daneshmand, S. (2020). Reporting radical cystectomy outcomes following implementation of enhanced recovery after surgery protocols: a systematic review and individual patient data meta-analysis. European urology, 78(5), 719-730. https://doi.org/10.1016/j.eururo.2020.06.039
  • Xu, D., Zhu, X., Xu, Y., & Zhang, L. (2017). Shortened preoperative fasting for prevention of complications associated with laparoscopic cholecystectomy: a meta-analysis. Journal of International Medical Research, 45(1), 22-37. https://doi.org/10.1177/0300060516676411
  • Yi, J., Lei, Y., Xu, S., Si, Y., Li, S., Xia, Z., ... & Huang, Y. (2017). Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: National study in China. PloS one, 12(6), e0177221. https://doi.org/10.1371/journal.pone.0177221
  • Zainfeld, D., & Djaladat, H. (2017). Enhanced recovery after urologic surgery—Current applications and future directions. Journal of Surgical Oncology, 116(5), 630-637. https://doi.org/10.1002/jso.24821
  • Zhao, T., Huang, L., Tian, Y., Wang, H., Wei, Q., & Li, X. (2014). Is it necessary to insert nasogastric tube routinely after radical cystectomy with urinary diversion? A meta-analysis. International Journal of Clinical and Experimental Medicine, 7(12), 4627. ISSN:1940-5901/IJCEM0002770
  • Ziegelmueller, B. K., Jokisch, J. F., Buchner, A., Grimm, T., Kretschmer, A., Schulz, G. B., ... & Karl, A. (2020). Long-term follow-up and oncological outcome of patients undergoing radical cystectomy for bladder cancer following an enhanced recovery after surgery (ERAS) protocol: results of a large randomized, prospective, single-center study. Urologia Internationalis, 104(1-2), 55-61. https://doi.org/10.1159/000504236
There are 88 citations in total.

Details

Primary Language Turkish
Subjects General Surgery
Journal Section Review
Authors

Rabia Görücü 0000-0001-8272-7710

Ezgi Seyhan Ak 0000-0002-3679-539X

Project Number Yoktur.
Early Pub Date April 29, 2024
Publication Date April 30, 2024
Published in Issue Year 2024

Cite

APA Görücü, R., & Seyhan Ak, E. (2024). Ürolojik Cerrahi Hastasının Bakımında Güncel Yaklaşımlar. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 9(1), 72-82. https://doi.org/10.51754/cusbed.1340627

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